Glad, Bruce Dwayne

Glad, Bruce Dwayne is an individual health care provider with primary practice located at 13923 S Haystack Peak Cir , Riverton UT 84096-6453. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Glad, Bruce Dwayne can be contacted via phone (801) 506-6695.

Contact Information

Primary practice address
13923 S Haystack Peak Cir Riverton UT 84096-6453
Phone: (801) 506-6695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1649550732
LBN Legal business name Glad, Bruce Dwayne
Credentials CSW, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2011
Last updated Aug 7th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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