Wilsonaie Maxine Gladney

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

Y4498605 Issued in CA

Practice address

23842 Hawthorne Blvd Ste 100101
Torrance, CA 90505-5929

Phone

(424) 328-5297

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1578170494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 DOTY AVE APT 264",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902508923",
            "telephone_number": "323-374-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23842 HAWTHORNE BLVD STE 100101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055929",
            "telephone_number": "424-328-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "WILSONAIE",
        "middle_name": "MAXINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "Y4498605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gittleman-Davies, MSW, LCSW
• Mark Jay Gittler, M.D.
• GL Sciences, Inc.
• GL Surgery Center LLC
• Aaron C Gladman, MD
• Kaleah Elyse Glass
• Leah Suzanne Glavan, BSN RN CIS
• Robert N Glazer, MD
• Ryan Gleber, MD, BS
• Peter Gleiberman, M.D.

• Behavior Analyst in Torrance, CA
• Providers in Torrance, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.