Individual
LISA ANN GLASSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
397 N LAKE DR, BRICK, NJ 08724-1519
(732) 604-4762
Mailing address
397 N LAKE DR, BRICK, NJ 08724-1519
(732) 604-4762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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