Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720576028 Individual Practitioner Female Practitioner

Jacqueline Maria Vick

Behavior Technician • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Jacqueline Vick is a registered healthcare professional specializing in Behavior Technician in Green Bay, WI. Practice services are available at 1575 ALLOUEZ AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1575 Allouez Ave

Green Bay, WI 543115639

Telephone 5074295018
Associated Practice Facility / Clinic
🏢 Caravel Autism Health, Llc Facility NPI 1588993091

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
56 Specialists

Practicing in Green Bay, WI (1630 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

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Mn Dept Of Ed
309411 (MN)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Rylee Lee

Behavior Technician

NPI 1225668858
Linnea Brunette

Assistant Behavior Analyst

NPI 1417597345
NPI 1538658760

Master of Science, Board Certified Behavior Analyst

Lauren Schlangen

Behavior Analyst

NPI 1649837758
Sierra Slade

Behavior Technician

NPI 1710533971
Valerie Bierman , BCBA

Behavior Analyst

NPI 1760124051

Board Certified Behavior Analyst

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 12, 2019

Registered at 1575 ALLOUEZ AVE, GREEN BAY, WI 543115639 (Tel: 5074295018)

📍
Updated Business Mailing Address March 12, 2019

Registered at 8411 S FORK DR, CALEDONIA, MN 559213736 (Tel: 0754295018)

NPI Profile Active April 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2018

Registered at 14301 EWING AVE S, BURNSVILLE, MN 553064885 (Tel: 9527465350)

📍
Updated Business Mailing Address April 23, 2018

Registered at 14301 EWING AVE S, BURNSVILLE, MN 553064885 (Tel: 9527465350)

👤
Provider Name / Credentials Updated April 23, 2018

Recorded as JACQUELINE VICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration April 23, 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: 1720576028
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2018
Last Update: March 12, 2019
Sole Proprietor: No

Mailing Address

8411 S Fork Dr

Caledonia, MN 559213736

Phone: 0754295018

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.