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

Spencer M Gilliam

Individual provider Behavior Analyst · NPI 1477126159

Spencer M Gilliam 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
Specialties on file
2
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Practice location Address checks out

96 Grasso Plz
Saint Louis, MO 63123-3108
Phone: (636) 398-2515
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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 2025050192 (MO)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1477126159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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