Healthcare Provider Details

I. General information

NPI: 1902712730
Provider Name (Legal Business Name): GLIMMER OF HOPE BEHAVIOR CONSULTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 W HAVEN RD
MANCHESTER NH
03104-2827
US

IV. Provider business mailing address

45 W HAVEN RD
MANCHESTER NH
03104-2827
US

V. Phone/Fax

Practice location:
  • Phone: 603-506-3761
  • Fax: 775-305-6297
Mailing address:
  • Phone: 603-506-3761
  • Fax: 775-305-6297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: COLLEEN DENSLOW
Title or Position: OWNER/BCBA
Credential: M.S., BCBA, LABA
Phone: 603-506-3761