Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013409895 Individual Practitioner Female Practitioner

Alisha Anne Jacoby , MED, BCBA

Behavior Analyst • Woodbury, MN

Professional Overview & Biography Verified Profile Summary

Alisha Jacoby, MED, BCBA is a registered healthcare professional specializing in Behavior Analyst in Woodbury, MN. Practice services are available at 731 BIELENBERG DR STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

731 Bielenberg Dr Ste 102

Woodbury, MN 551251701

Telephone 6124458327

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Woodbury, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
29 Specialists

Practicing in Woodbury, MN (1398 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: 2021-12-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MN 1-17-25602

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Shiloh Sather

Technician, Other

NPI 1326615691

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 07, 2021

Registered at 731 BIELENBERG DR STE 102, WOODBURY, MN 551251701 (Tel: 6124458327)

📍
Updated Business Mailing Address December 07, 2021

Registered at 731 BIELENBERG DR STE 102, WOODBURY, MN 551251701

👤
Provider Name / Credentials Updated December 07, 2021

Recorded as ALISHA JACOBY, M.ED, BCBA

NPI Profile Active June 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2018

Registered at 9120 SPRINGBROOK DR NW, COON RAPIDS, MN 554335845 (Tel: 6127677222)

📍
Updated Business Mailing Address June 06, 2018

Registered at 9120 SPRINGBROOK DR NW, COON RAPIDS, MN 554335845

👤
Provider Name / Credentials Updated June 06, 2018

Recorded as ALISHA CARLOS, M.ED, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Behavior Analyst (License #1-17-25602 in MN)

🟢
Initial NPI Registration & Enumeration June 06, 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: 1013409895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2018
Last Update: December 07, 2021
Sole Proprietor: No

Mailing Address

731 Bielenberg Dr Ste 102

Woodbury, MN 551251701

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.