Savannah Rae Glenn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-186159 Issued in NC

Practice address

10926 S Tryon St Ste E
Charlotte, NC 28273-4154

Phone

(855) 201-5498

Fax

(888) 849-4249

NPI assigned

Sep 28, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Behavioral Group, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1487904041
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1881365914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113G N MARINE BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10926 S TRYON ST STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734154",
            "telephone_number": "855-201-5498",
            "fax_number": "888-849-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113G N Marine Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285406508",
            "country_code": "US",
            "telephone_number": "910-389-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "SAVANNAH",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-21-186159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Glenn, PSS
• Catherine Glenn, CSAC-I
• Gabrielle Shawnta' Glenn, MSED, LPC, LCMHCHA
• Ikysha Glenn
• Maria Frances Glenn, M.D.
• Glenpointe Optical Corp
• Timother Glesener, DDS
• Stephanie A Glickman, LCSW
• Todd Glickman, LCSW
• Kristina Simmons Glidewell, DDS

• Behavior Technician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.