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

Q: 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.

Q: What is Glen Gillman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glen Gillman was last updated on February 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2018

630 S RANCHO DR, LAS VEGAS, NV 89106(702) 780-2315(702) 527-7939 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

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 Address630 S RANCHO DRLas Vegas, NV 89106-4873

Mailing Address5450 S Fort Apache Rd Apt 202Las Vegas, NV 89148-4691

Phone(702) 780-2315

Fax(702) 527-7939

Sole ProprietorNo

Enumeration DateApril 2, 2018

Last NPPES UpdateFebruary 24, 2020

✔ 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.

630 S RANCHO DR, Las Vegas, NV 89106

Open in Google Maps ↗