Individual provider · Type 1 NPI

Sydney Sophia Lauren Jacob

Behavior Technician · Bloomington, IN

NPI number 1619787199 Active

Practice location

239 E Winslow Rd
Bloomington, IN 47401-8638

Call (812) 202-6001 Map

Mailing address

2495 S Walnut Street Pike
Bloomington, IN 47401-8431

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst	103K00000X	None listed
Behavior Technician Primary	106S00000X	None 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 1619787199

Sydney Sophia Lauren Jacob's National Provider Identifier is 1619787199, issued on Jan 8, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Bloomington, IN. The record was last updated on Jan 8, 2025.