Individual provider · Type 1 NPI

Jaclyn Renee Humphrey, MA, BCBA

Behavior Analyst · Bloomington, IN

NPI number 1659855849 Active

Practice location

1501 W Tapp Rd
Bloomington, IN 47403-3459

Call (812) 330-4460 Map

Fax (812) 330-4461

Mailing address

6402 W Vernal Pike
Bloomington, IN 47404-9662

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Analyst Primary 103K00000X1-18-31655 (IN)

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 1659855849

Jaclyn Renee Humphrey, MA, BCBA's National Provider Identifier is 1659855849, issued on Sep 24, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Bloomington, IN. The record was last updated on Feb 6, 2023.