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Deactivated NPI 1770117970 Deactivated / Inactive NPI Male Practitioner

Jacob Cooper

Behavior Technician • Oviedo, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacob Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 26, 2020
NPI Deactivation Date August 12, 2020
Total Practice Duration ~1 Years of Practice (2020 – 2020)

Professional Overview & Biography Verified Profile Summary

Jacob Cooper was a registered Behavior Technician practicing in Oviedo, FL. Throughout an active medical career spanning 1 years, Jacob Cooper provided care at the practice location at 848 EXECUTIVE DR until profile deactivation on 2020-08-12.

Practice Location & Contact Primary Location

Practice Address

848 Executive Dr

Oviedo, FL 327657699

Telephone 4076788889
Associated Practice Facility / Clinic
🏢 Interventions Unlimited, Llc. Facility NPI 1891901658

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Oviedo, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
125 Specialists

Practicing in Oviedo, FL (75895 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: 2020-08-22
Behavior Technician Primary Specialty

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
Kevin Marble

Behavior Technician

NPI 1023610169
Jing Zhou , MS

Behavior Analyst

NPI 1043421530

Master of Science

Stephanie Dorleans , RBT

Behavior Technician

NPI 1063045631

Registered Behavior Technician

Mackenzie Kelly

Behavior Technician

NPI 1063081651
Nicole Sobers

Student in an Organized Health Care Education/Training Program

NPI 1063864379
Ashley Hoyle

Behavior Technician

NPI 1073122446

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location September 03, 2020

Registered at 848 EXECUTIVE DR, OVIEDO, FL 327657699 (Tel: 4076788889)

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Updated Business Mailing Address September 03, 2020

Registered at 848 EXECUTIVE DR, OVIEDO, FL 327657699 (Tel: 8634141111)

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2020

Behavior Technician

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NPI Profile Reactivated August 21, 2020

Record officially reactivated for active practice on August 21, 2020

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NPI Profile Deactivated August 12, 2020

Record deactivated on August 12, 2020

NPI Profile Active February 26, 2020

NPI status registered as active in NPPES database

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Updated Practice Location February 26, 2020

Registered at 8001 BEATY GROVE DR, TAMPA, FL 336261602 (Tel: 8139265454)

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Updated Business Mailing Address February 26, 2020

Registered at 3461 SPUR RD APT 115, ORLANDO, FL 328263169 (Tel: 8634141111)

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Provider Name / Credentials Updated February 26, 2020

Recorded as JACOB COOPER

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2020

Assistant Behavior Analyst

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Initial NPI Registration & Enumeration February 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770117970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2020
Last Update: September 03, 2020
Deactivation Date: August 12, 2020
Sole Proprietor: No

Mailing Address

848 Executive Dr

Oviedo, FL 327657699

Phone: 8634141111

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.