DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GRACE E GLENN

MEDICARE: GRACE E GLENN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1154265866
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE E GLENN
Provider Business Mailing Address
First Line : 10577 LA LILA LN
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-5334
Country : US
Telephone Number : 714-393-9417
Fax Number :
Provider Business Practice Location Address
First Line : 17011 BEACH BLVD STE 900
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5998
Country : US
Telephone Number : 714-984-6283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

Similar Medicare Providers

1770760076 — DR. STEPHEN MARC WYMAN M.D.
Practice Location Address:
17011 BEACH BLVD STE 900
HUNTINGTON BEACH, CA
92647-5998
Practice Phone: 714-842-8680
Practice Fax:
1285889071 — CHASE HOME HEALTH INCORPORATED
Practice Location Address:
17011 BEACH BLVD STE 900
HUNTINGTON BEACH, CA
92647-5998
Practice Phone: 714-965-0175
Practice Fax: 714-908-0344
1508096967 — KIMBERLY COLEEN TAYLOR LMFT 93627
Practice Location Address:
17011 BEACH BLVD STE 900
HUNTINGTON BEACH, CA
92647-5998
Practice Phone: 949-424-9681
Practice Fax:
1558623363 — MICHAEL RICHARD PRIESING MHW CATC
Practice Location Address:
17011 BEACH BLVD STE 900
HUNTINGTON BEACH, CA
92647-5998
Practice Phone: 949-300-1657
Practice Fax:
1477894277 — JOANNA LYONES BCBA
Practice Location Address:
17011 BEACH BLVD STE 900
HUNTINGTON BEACH, CA
92647-5998
Practice Phone: 714-602-4820
Practice Fax:
1245653260 — CHANG CHOE BCBA
Practice Location Address:
17011 BEACH BLVD STE 900
HUNTINGTON BEACH, CA
92647-5998
Practice Phone: 562-248-6377
Practice Fax: 833-233-3050

Directions to “ GRACE E GLENN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.