Individual ProviderConnie B GlennBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address8800 Ackerman Ave, Las Vegas, NV 89143-4426(702) 612-6787PECOS EnrollmentBased on the most recent information from CMS, provider Connie B Glenn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073941712Provider TypeIndividualFull NameGlenn, Connie BGenderFemaleSole ProprietorYesEnumeration Date10/16/2013Last Updated1/25/2026Contact InformationPractice LocationPractice Address8800 Ackerman Ave, Las Vegas, NV 89143-4426Phone(702) 612-6787Fax(702) 655-0062Mailing LocationMailing Address8800 Ackerman Ave, Las Vegas, NV 89143-4426Phone(702) 612-6787Fax(702) 655-0062Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode3747P1801XDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer