| Glimmer Support Services LLC | |
|
2313 Anna Jean Ct Santa Fe NM 87505-5275 | |
| (505) 469-2839 | |
| Not Available |
| Full Name | Glimmer Support Services LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2313 Anna Jean Ct, Santa Fe, New Mexico |
| Authorized Official Name and Position | Jheri Stelzer (FOUNDER) |
| Authorized Official Contact | 5054692839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glimmer Support Services LLC 2313 Anna Jean Ct Santa Fe NM 87505-5275 Ph: (505) 469-2839 | Glimmer Support Services LLC 2313 Anna Jean Ct Santa Fe NM 87505-5275 Ph: (505) 469-2839 |
| NPI Number | 1871363713 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871363713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
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