Individual
AMI MARIE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
454 W PIPKIN RD, LAKELAND, FL 33813-2545
(863) 619-2809
Mailing address
5115 N SOCRUM LOOP RD APT 355, LAKELAND, FL 33809-4280
(863) 209-6156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-348226
FL
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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