Individual provider · Type 1 NPI

Jacob Andrew Dietz, BA, RBT

Behavior Analyst · Edgewood, KY

NPI number 1659922441 Active

Practice location

2904 Foltz Dr
Edgewood, KY 41017-2525

Call (859) 795-3000 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XRBT-19-98801 (KY)

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 1659922441

Jacob Andrew Dietz, BA, RBT's National Provider Identifier is 1659922441, issued on Sep 24, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Edgewood, KY. The record was last updated on Sep 24, 2019.