Individual
KATHRYN GRACE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
111 POMONA DR STE G, GREENSBORO, NC 27407-1636
(818) 241-6780
(800) 819-7806
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61864
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/23/2019
Last updated
11/08/2022
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