Individual provider · Type 1 NPI

Justin G. Jacob

Behavior Technician · Bronx, NY

NPI number 1538077649 Active

Practice location

3921 Wilder Ave
Bronx, NY 10466-2424

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X104146428 (NY)

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 1538077649

Justin G. Jacob's National Provider Identifier is 1538077649, issued on Aug 31, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Bronx, NY. The record was last updated on Sep 9, 2026.