Racciyia L Glass
Behavior Technician in Columbus, OH. Individual provider (NPI-1).
NPI number1639747710
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1639747710
- Entity type
- Individual (NPI-1)
- Name
- Ms. Racciyia L Glass
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2021
- Certification date
- Jun 15, 2021
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | OH | Yes |
Practice location
4664 Larwell DrColumbus, OH 43220-3621
Phone 614-487-7805
Mailing address
1270 Wilson AveColumbus, OH 43206-3172
Phone 614-649-9428
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