Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glen Ethan Gillman, BCBA

Individual provider Behavior Analyst · NPI 1396241048

Glen Ethan Gillman, BCBA is a Behavior Analyst in Las Vegas, Nevada. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

630 S Rancho Dr
Las Vegas, NV 89106-4873
Phone: (702) 780-2315
Fax: (702) 527-7939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1396241048
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

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