Most Relevant Information
Provider Data
| NPI Number: | 1003638354 |
| Provider Name: | GLAD DYAN SANTAMARIA CUSIMANO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/28/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
950 TODD RD APT L
BEL AIR
MD
210144644
Practice Location Phone/Fax
| Phone: | 4438667262 |
| Fax: |
Provider Mailing Location
950 TODD RD APT L
BEL AIR
MD
210144644
Provider Mailing Phone/Fax
| Phone: | 4438667262 |
| Fax: |