Individual provider · NPI-1

Amanda Marie Glover, BCBA

Behavior Analyst · Islandia, NY

NPI number1285290668
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1285290668
Entity type
Individual (NPI-1)
Name
Amanda Marie Glover
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2019
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

1737 Veterans Memorial Hwy
Islandia, NY 11749-1529

Phone 631-479-2900

Mailing address

54 Friendly Ct
Babylon, NY 11702-2206

Phone 631-816-4414

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