Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Lane Glazer

Individual provider Behavior Technician · NPI 1770402679

Jonathan Lane Glazer is a Behavior Technician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

1964 Ashley River Rd Unit 80901B
Charleston, SC 29416-1637
Phone: (843) 259-8853
Fax: (888) 808-4249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (SC)

Record details

NPI number1770402679
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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