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

Individual provider Behavior Analyst · NPI 1205424124

Matthew Gillam, BCBA is a Behavior Analyst in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
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

12110 Clayton Rd
Saint Louis, MO 63131-2599
Phone: (314) 989-8150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2018021548 (MO)

Record details

NPI number1205424124
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021
Mailing address12110 Clayton Rd, Saint Louis, MO 63131-2599

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