Individual
STEPHANIE GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
7725 W 87TH ST, OVERLAND PARK, KS 66212-1905
(785) 218-9351
Mailing address
2600 W 6TH ST APT P6, LAWRENCE, KS 66049-4323
(256) 453-6759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10232
KS
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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