Individual provider · Type 1 NPI

Melena Jade Debra Jacquez

Behavior Technician · Clarkston, MI

NPI number 1114802899 Active

Practice location

6510 Town Center Dr Ste E
Clarkston, MI 48346-4822

Call (248) 965-0417 Map

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1114802899

Melena Jade Debra Jacquez's National Provider Identifier is 1114802899, issued on Aug 11, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Clarkston, MI. The record was last updated on Aug 11, 2025.