Kathryn Grace Glass, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-61864 Issued in NC

Practice address

111 Pomona Dr Ste G
Greensboro, NC 27407-1636

Phone

(818) 241-6780

Fax

(800) 819-7806

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1609427426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD STE 560",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062380",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 POMONA DR STE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071636",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Green Valley Rd Ste 200231",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274082155",
            "country_code": "US",
            "telephone_number": "818-241-6780 x365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "KATHRYN",
        "middle_name": "GRACE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-22-61864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Michelle Girth, M.S. CCC-SLP
• Ecaterina Gittard, MSW, LCSWA
• Lyndsey Givens
• Angelica Zorana Gladney
• Linda C. Glasgow, CEO
• Timothy Austin Glasser, M.D.
• Joshua Glatter, PHARMD
• Glenda Liggins (Triad Home Health Agency)
• Glenn E. Jennings, M.D., P.a.
• Katherine Howard Glenn, PHD

• Behavior Analyst in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.