Carolyn Jeanne Glover
Behavior Technician in Malden, MA. Individual provider (NPI-1).
NPI number1104404243
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1104404243
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Jeanne Glover
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2021
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
599 Pleasant St Apt 25Malden, MA 02148-3597
Phone 857-719-7954
Mailing address
599 Pleasant St Apt 25Malden, MA 02148-3597
Phone 857-719-7954
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 23 Behavior Technician providers in Malden · All 1,311 providers in Malden
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