Glow Behavioral Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

GLOW BEHAVIORAL SERVICES

Practice address

3712 Isla Vista CT
Madera, CA 93637-3314

Phone

(559) 975-3299

NPI assigned

Jun 10, 2025

Last updated

Jun 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kayleigh Rider

Title

Founder

Phone

(866) 559-4569

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1083509046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 552856",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 ISLA VISTA CT",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373314",
            "telephone_number": "559-975-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "KAYLEIGH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "866-559-4569"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Andrea Giron-Cortez
• Hidalme Giron
• Erin Rose Gleason, RN, NP
• Timothy Glenn, PHARMD
• Tamera Lee Gless, M.S.W.
• Samantha Gluzinski, DO
• Claudia Lorena Godinez, NP
• Roberto Godinez, FNP
• Golden Valley Usd
• Darren Goltiao, M.D.

• Developmental Disabilities Clinic/Center in Madera, CA
• Providers in Madera, CA by specialty
• Developmental Disabilities Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.