Individual provider · Type 1 NPI

Jacob Matheny Desuyo, DSL, BCBA

Behavior Analyst · St. Augustine, FL

NPI number 1104626886 Active

Practice location

204 Gallicia Ave
St. Augustine, FL 32086-8838

Call (904) 401-7144 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Analyst Primary 103K00000X125792235 (FL)

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 1104626886

Jacob Matheny Desuyo, DSL, BCBA's National Provider Identifier is 1104626886, issued on Mar 13, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 13, 2025.