Kerissa Glascott
Kerissa Glascott is a Behavior Technician in Portage, Michigan. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1617 E Milham Ave Ste BPortage, MI 49002-3049
Phone: (269) 389-9102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1720573413 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 26, 2018 |
| Last updated in NPPES | June 26, 2018 |
| Mailing address | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 |
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