Individual provider · Type 1 NPI
Gleneisha L. Emiantor
Developmental Therapist · Orange Park, FL
Practice location
2293 Club Lake Dr
Orange Park, FL 32065-2650
Fax (904) 770-5596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1386223105
Gleneisha L. Emiantor's National Provider Identifier is 1386223105, issued on Apr 7, 2021. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Orange Park, FL. The record was last updated on Feb 18, 2026.