Carly Glassmeyer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-856-0 Issued in HI

Practice address

95-732 Maiaku St
Mililani, HI 96789-2816

Phone

(808) 321-8105

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1417518382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HOBRON LN APT 1609",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151213",
            "telephone_number": "513-382-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-732 MAIAKU ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892816",
            "telephone_number": "808-321-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Salt Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968183153",
            "country_code": "US",
            "telephone_number": "808-597-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSMEYER",
        "first_name": "CARLY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-856-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Diane Giron-Bauer, LMFT
• Hannah Glew
• Abbygail Godbout
• Katherine K Godwin, MS OTR/L CHT
• Anthony Gogue
• Denise Gomez

• Behavior Analyst in Mililani, HI
• Providers in Mililani, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.