Individual provider · Type 1 NPI

Jill Ann Idicula

Behavior Analyst · Clinton Township, MI

NPI number 1093290553 Active

Practice location

University Pediatricians Autism Center, 16700 17 Mile Road Suite B
Clinton Township, MI 48038

Call (586) 228-2300 Map

Fax (586) 228-2307

Mailing address

1800 W Big Beaver Rd Ste 150
Troy, MI 48084-3535

Other practice locations

  • 1800 W Big Beaver Rd Ste 150, Troy, MI 48084-3535 · (248) 918-5600

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000X7401001204 (MI)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1093290553

Jill Ann Idicula's National Provider Identifier is 1093290553, issued on Oct 1, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Clinton Township, MI. The record was last updated on Apr 5, 2021.