Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619447323 Individual Practitioner Male Practitioner

Jacob Miceli

Behavior Analyst • Riverbank, CA

Professional Overview & Biography Verified Profile Summary

Jacob Miceli is a registered healthcare professional specializing in Behavior Analyst in Riverbank, CA. Practice services are available at 5501 ANTIQUE ROSE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5501 Antique Rose Way

Riverbank, CA 953679505

Telephone 2095214791
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Riverbank, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Riverbank, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-23-64992

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dmitrius Clark

Behavior Technician

NPI 1003386657
Katina Blaine

Behavior Technician

NPI 1003389826
Michael Barrale , BA

Behavior Technician

NPI 1003450719

Bachelor of Arts

Elizabeth Guillen

Behavior Technician

NPI 1003460650
Karla Carrillo

Behavior Technician

NPI 1003464280
Melissa Alcocer

Behavior Technician

NPI 1003478561

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 22, 2023

Registered at DEPT LA 22763, PASADENA, CA 911850001

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2023

Behavior Analyst (License #1-23-64992 in CA)

NPI Profile Active November 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2018

Registered at 5501 ANTIQUE ROSE WAY, RIVERBANK, CA 953679505 (Tel: 2095214791)

📍
Updated Business Mailing Address November 26, 2018

Registered at 3425 COFFEE RD, MODESTO, CA 953551582

👤
Provider Name / Credentials Updated November 26, 2018

Recorded as JACOB MICELI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacob Miceli. Be the first to share your experience!

Sign in to leave a review for Jacob Miceli

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619447323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2018
Last Update: June 22, 2023
Sole Proprietor: No

Mailing Address

Dept La 22763

Pasadena, CA 911850001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.