Individual provider · Type 1 NPI

Jacob Autry Wilson, RBT

Behavior Technician · Eustis, FL

NPI number 1154187995 Active

Practice location

437 W Ardice Ave, Suite 481
Eustis, FL 32726-3408

Mailing address

38413 Deerwoods Dr
Eustis, FL 32736-9492

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XBACB1068402 (FL)

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 1154187995

Jacob Autry Wilson, RBT's National Provider Identifier is 1154187995, issued on Feb 27, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Eustis, FL. The record was last updated on May 8, 2024.