Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093290553 Individual Practitioner Female Practitioner

Jill Ann Idicula

Behavior Analyst • Clinton Township, MI

Professional Overview & Biography Verified Profile Summary

Jill Idicula is a registered healthcare professional specializing in Behavior Analyst in Clinton Township, MI. Practice services are available at UNIVERSITY PEDIATRICIANS AUTISM CENTER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

University Pediatricians Autism Center
16700 17 Mile Road Suite B

Clinton Township, MI 48038

Telephone 5862282300
Fax 5862282307
Associated Practice Facility / Clinic
🏢 Matthew D Andrews Dpm Pc Facility NPI 1992363097

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Clinton Township, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Clinton Township, MI (3207 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: 2021-03-15
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 7401001204

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.

Secondary Practice Locations

1800 W Big Beaver Rd Ste 150

Troy, MI 480843535

Phone: 2489185600

Practice Associates & Co-Workers

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

40 Associated Practitioners
Valerie Koumlyk

Behavior Technician

NPI 1003655226
Kenneth Trent-Johnson

Behavior Technician

NPI 1043991540
Skye Pernell

Behavior Technician

NPI 1053274258
Kayla Dietrich

Behavior Technician

NPI 1063109221
Kelsey Thompson

Behavior Technician

NPI 1063375178
Alexandra Gaziyan

Behavior Technician

NPI 1073482279

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 05, 2021

Registered at UNIVERSITY PEDIATRICIANS AUTISM CENTER, 16700 17 MILE ROAD SUITE B, CLINTON TOWNSHIP, MI 48038 (Tel: 5862282300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Behavior Analyst (License #7401001204 in MI)

NPI Profile Active October 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2018

Registered at 1800 W BIG BEAVER RD STE 150, TROY, MI 480843535 (Tel: 2489185600)

📍
Updated Business Mailing Address October 01, 2018

Registered at 1800 W BIG BEAVER RD STE 150, TROY, MI 480843535 (Tel: 2489185600)

👤
Provider Name / Credentials Updated October 01, 2018

Recorded as JILL IDICULA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration October 01, 2018

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: 1093290553
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2018
Last Update: April 05, 2021
Sole Proprietor: No

Mailing Address

1800 W Big Beaver Rd Ste 150

Troy, MI 480843535

Phone: 2489185600

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.