Jacob Miceli

Behavior Analyst · Riverbank, CA

Individual Active NPI

NPI number 1619447323

Practice location

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone
(209) 521-4791

Open in Google Maps

NPI record

NPI
1619447323
Entity type
Individual (Type 1)
Enumeration date
November 26, 2018
Last updated
June 22, 2023
Certified
June 22, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-23-64992 CA
Behavior Technician 106S00000X — —

Mailing address

Dept La 22763
Pasadena, CA 91185-0001

About Jacob Miceli

Jacob Miceli is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5501 Antique Rose Way, Riverbank, CA 95367-9505. The NPI number 1619447323 was assigned on November 26, 2018 and the record was last updated on June 22, 2023.

Jacob Miceli lists a license in the registry: #1-23-64992 (CA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Miceli?

The NPI number is 1619447323.

What is the phone number of Jacob Miceli?

The phone number listed for the practice location is (209) 521-4791.

Where is Jacob Miceli located?

5501 Antique Rose Way, Riverbank, CA 95367-9505.

What is the taxonomy code for Jacob Miceli?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Analyst providers in Riverbank

All Behavior Analyst providers in Riverbank, CA →