Most Relevant Information
Provider Data
| NPI Number: | 1003491226 |
| Provider Name: | KELLY GLOGER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2021 |
| Last Updated: | 03/10/2021 |
Provider Practice Location
1702 N COLLINS BLVD STE 250
RICHARDSON
TX
750803655
Practice Location Phone/Fax
| Phone: | 4696079500 |
| Fax: |
Provider Mailing Location
27777 INKSTER RD STE 100
FARMINGTON HILLS
MI
483345312
Provider Mailing Phone/Fax
| Phone: | 2482990030 |
| Fax: |