Active NPI
Kylee Glenn
- Behavior Analyst
- Celina, TX
National Provider Identifier
1215825567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12582064
- Practice address
- 245 S Preston Rd Ste 110
Celina, TX 75009-3420 - Phone
- (877) 772-7889
- NPI assigned
- Jun 25, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12582064 | TX | Primary |
Addresses
Primary practice location
245 S Preston Rd Ste 110
Celina, TX 75009-3420
Mailing address
4400 Canadian River Dr
Prosper, TX 75078-2223
Phone (636) 248-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12582064 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1215825567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 CANADIAN RIVER DR",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782223",
"telephone_number": "636-248-3211",
"fax_number": "636-248-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S PRESTON RD STE 110",
"city": "CELINA",
"state": "TX",
"postal_code": "750093420",
"telephone_number": "877-772-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "KYLEE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-25",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "12582064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Celina, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.