Mallory Glessner
Behavior Technician in Concord, NC. Individual provider (NPI-1).
NPI number1982582003
StatusActive
Last updated in NPPESAug 26, 2025
Details
- NPI
- 1982582003
- Entity type
- Individual (NPI-1)
- Name
- Mallory Glessner
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2025
- Certification date
- Aug 26, 2025
- Last updated
- Aug 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1040 Copperfield Blvd NeConcord, NC 28025-2451
Phone 704-780-4271
Mailing address
1040 Copperfield Blvd NeConcord, NC 28025-2451
Phone 704-780-4271
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