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NPI Code Detail

MEDICARE: MR. GLENN JOSEPH CAPLAN JR. MS, LBS

MEDICARE: MR. GLENN JOSEPH CAPLAN JR. MS, LBS
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
1103K00000XBehavior AnalystBH640077PA

General Provider Information

NPI Number : 1306536255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GLENN JOSEPH CAPLAN JR. MS, LBS
Provider Business Mailing Address
First Line : 1933 CHATHAM DR
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-5917
Country : US
Telephone Number : 717-521-6770
Fax Number :
Provider Business Practice Location Address
First Line : 16 LEADERS HEIGHTS RD
Second Line :
City : YORK
State : PA
Zip : 17403-5033
Country : US
Telephone Number : 717-814-5371
Fax Number : 888-411-1339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2023
Last Update Date : 07/10/2024

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