Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396241048 Individual Practitioner Male Practitioner

Glen Ethan Gillman , BCBA

Behavior Analyst • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Glen Gillman, BCBA is a registered healthcare professional specializing in Behavior Analyst in Las Vegas, NV. Practice services are available at 630 S RANCHO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 S Rancho Dr

Las Vegas, NV 891064873

Telephone 7027802315
Fax 7025277939
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 5.4 Yrs
Regional Practice Density
2900 Specialists

Practicing in Las Vegas, NV (4661 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Lisa Cook , PhD

Psychologist - Clinical

NPI 1063899268

Doctor of Philosophy (Ph.D.)

NPI 1093261133

Master of Science, Board Certified Behavior Analyst

Madison Nelson , RBT

Behavior Technician

NPI 1225534985

Registered Behavior Technician

Sara Paye

Behavior Technician

NPI 1225541899
Dr. Mario Gaspar De Alba , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1275546590

Doctor of Medicine (M.D.)

Dr. Rooman Ahad , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1275748493

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 24, 2020

Registered at 630 S RANCHO DR, LAS VEGAS, NV 891064873 (Tel: 7027802315)

📍
Updated Practice Location May 29, 2018

Registered at 5450 S FORT APACHE RD APT 202, LAS VEGAS, NV 89148 (Tel: 9168926085)

📍
Updated Business Mailing Address May 29, 2018

Registered at 5450 S FORT APACHE RD APT 202, LAS VEGAS, NV 891484691

NPI Profile Active April 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2018

Registered at 331 ANJOU CIR, SACRAMENTO, CA 958352053 (Tel: 9168926085)

📍
Updated Business Mailing Address April 02, 2018

Registered at 331 ANJOU CIR, SACRAMENTO, CA 958352053

👤
Provider Name / Credentials Updated April 02, 2018

Recorded as GLEN GILLMAN, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2018

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396241048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2018
Last Update: February 24, 2020
Sole Proprietor: No

Mailing Address

5450 S Fort Apache Rd Apt 202

Las Vegas, NV 891484691

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.