Active NPI
Bonnie Louise Glose, MA, BCBA, LBSC
- Behavior Analyst
- Bethlehem, PA
National Provider Identifier
1821687443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-04-2051
- Practice address
- 3865 Adler PL
Bethlehem, PA 18017-9000 - Phone
- (610) 867-3173
- NPI assigned
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-04-2051 | PA | Primary |
Addresses
Primary practice location
3865 Adler PL
Bethlehem, PA 18017-9000
Mailing address
2150 W Greenleaf St
Allentown, PA 18104-4059
Phone (610) 657-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1821687443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 W GREENLEAF ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044059",
"telephone_number": "610-657-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 ADLER PL",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180179000",
"telephone_number": "610-867-3173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOSE",
"first_name": "BONNIE",
"middle_name": "LOUISE",
"credential": "MA, BCBA, LBSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-04-2051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.