Individual
KELSEY GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13142 MAPLE PARK DR, SAN ANTONIO, TX 78249-3628
(210) 382-0890
Mailing address
13142 MAPLE PARK DR, SAN ANTONIO, TX 78249-3628
(210) 382-0890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21472
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-21472
BOARD CERTIFIED BEHAVIOR ANALYST
TX
Enumeration date
03/24/2016
Last updated
03/24/2016
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