Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013260579 |
---|---|
Provider Name | Whitney Glover |
First Address | Guthrie, OK 73044-3354 |
Second Address | Guthrie, OK 73044-3354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2012 |
Last Update Date | 22/10/2012 |