Individual
KELSY KAY GLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA IN PSYCHOLOGY
Contact information
Practice address
2825 S ANKENY BLVD, ANKENY, IA 50023-9417
(515) 598-7200
Mailing address
12353 300TH ST, LAMONI, IA 50140-2284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-246392
IA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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