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

Mr. Glen Owen Sallows, PHD, BCBA-D

Individual provider Psychologist · NPI 1104993153

Mr. Glen Owen Sallows, PHD, BCBA-D is a Psychologist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1210 Fourier Dr Ste #100
Madison, WI 53717-1969
Phone: (608) 662-9327
Fax: (608) 662-9041
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 823057 (WI)
Behavior Analyst Taxonomy 103K00000X · Licence 54-140 (WI)

Record details

NPI number1104993153
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , BCBA-D
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESNovember 17, 2015

Other providers in Madison