Bryant David Gillman, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42373 Issued in CA

Practice address

7261 W Charleston Blvd Ste 101
Las Vegas, NV 89117-1679

Phone

(702) 396-0101

NPI assigned

Jun 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tandem Therapy Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1215056478
  NPD (past)
• Tandem Therapy Services

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1356724652
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1093375099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 W CHARLESTON BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171679",
            "telephone_number": "702-396-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 W CHARLESTON BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171679",
            "telephone_number": "702-396-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 N Winchester Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281150",
            "country_code": "US",
            "telephone_number": "408-709-9294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "BRYANT",
        "middle_name": "DAVID",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-42373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Gillis
• David J Gillis
• Jasmine Gillis, QMHA
• Tiwana Gillispie
• Audrey Lynn Manalang Gillman, M.S., CCC-SLP
• Glen Ethan Gillman, BCBA
• Arnold O Gillo, LCSW
• Marjorie Valencia Gillo
• Amanda Sarah Gilman
• Mezerine Gilmer

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.