Most Relevant Information
Provider Data
| NPI Number: | 1003210832 |
| Provider Name: | LISA ANN GLASSFORD BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/22/2014 |
| Last Updated: | 10/22/2014 |
Provider Practice Location
397 N LAKE DR
BRICK
NJ
087241519
Practice Location Phone/Fax
| Phone: | 7326044762 |
| Fax: |
Provider Mailing Location
397 N LAKE DR
BRICK
NJ
087241519
Provider Mailing Phone/Fax
| Phone: | 7326044762 |
| Fax: |