Individual
MISS STACI MCGLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
178 W VETERANS HWY, JACKSON, NJ 08527-3410
(201) 979-1336
(908) 940-0338
Mailing address
175 BELGROVE DR, KEARNY, NJ 07032-1507
(201) 979-1336
(908) 940-0338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00165100
NJ
103K00000X
Behavior Analyst
Primary
BACB405234
NJ
106S00000X
Behavior Technician
RBT-21-157952
NJ
Other
Enumeration date
04/20/2022
Last updated
04/23/2026
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