Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLEN ETHAN GILLMAN BCBA
NPI 1396241048
Behavior Analyst in Las Vegas, NV

Active since April 02, 2018
6780 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148(702) 870-1728(702) 725-2519 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Feb 24, 2020 (2 updates tracked since 2020).

About Glen Ethan Gillman Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN ETHAN GILLMAN BCBA (NPI 1396241048) is an individual behavior analyst provider in Las Vegas, Nevada and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1396241048
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameGLEN ETHAN GILLMANCredential: BCBA
Location Address6780 S FORT APACHE RD STE 110Las Vegas, NV 89148-5405
Mailing Address10129 W Meranto AveLas Vegas, NV 89178-6325 · (916) 892-6085 · Fax (702) 725-2519
Fax(702) 725-2519
Sole ProprietorNo
Enumeration DateApril 2, 2018
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1396241048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
6780 S FORT APACHE RD STE 110, Las Vegas, NV 89148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Gillman's NPI number?

The NPI number for Glen Gillman is 1396241048. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Glen Gillman located?

Glen Gillman practices at 6780 S Fort Apache Rd Ste 110, Las Vegas, NV 89148. The listed phone number is (702) 870-1728.

What is Glen Gillman's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Glen Gillman was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.