Individual
KYLE GLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
3033 N 44TH ST STE 210, PHOENIX, AZ 85018-7244
(623) 263-3996
Mailing address
3033 N 44TH ST STE 210, PHOENIX, AZ 85018-7244
(623) 263-3996
(855) 913-2517
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001415
AZ
Other
Enumeration date
07/20/2016
Last updated
03/03/2025
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