Individual
KRISTA GAIL GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 REARDON BLVD, BARDSTOWN, KY 40004-2034
(800) 701-0498
Mailing address
2120 CONCORDIA RD, PAYNEVILLE, KY 40157-7621
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-5122640
KY
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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