JACOB AUTRY WILSON RBT
NPI 1154187995
Behavior Technician in Eustis, FL

NPI Status: Active since February 27, 2024

Contact Information

437 W ARDICE AVE
SUITE 481
EUSTIS, FL
ZIP 32726
Phone: (407) 530-5063

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  • Individual
  • Male
  • Behavior Technician

About JACOB WILSON

This page provides the complete NPI Profile along with additional information for Jacob Wilson, a provider established in Eustis, Florida with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1154187995 assigned on February 2024. The practitioner's primary taxonomy code is 106S00000X with license number BACB1068402 (FL). The provider is registered as an individual and his NPI record was last updated one year ago. Jacob Wilson operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI
1154187995
Provider Name
JACOB AUTRY WILSON RBT
Gender
Male
Entity Type
Individual
Location Address
437 W ARDICE AVE SUITE 481 EUSTIS, FL 32726
Location Phone
(407) 530-5063
Mailing Address
38413 DEERWOODS DR EUSTIS, FL 32736
Mailing Phone
(352) 617-4616
Is Sole Proprietor?
Yes
Enumeration Date
02-27-2024
Last Update Date
05-08-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
License No.
BACB1068402
License State
FL
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154187995
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211042814918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 2 + 8 + 1 + 4 + 9 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1154187995 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427778133MRS. JENNIFER ANNE LEVENSON PTA
Individual
Physical Therapy Assistant437 W ARDICE AVE
EUSTIS, FL 32726
(352) 747-4147
1437734092 BRITTANY ANN MORGAN
Individual
Occupational Therapy Assistant437 W ARDICE AVE
EUSTIS, FL 32726
(352) 747-4147
1356129159FIRST STEP THERAPY LLC
Organization
Behavior Analyst437 W ARDICE AVE SUITE 481
EUSTIS, FL 32726
(800) 378-7597
1821730706 TIFFANY IRVIN
Individual
Behavior Technician437 W ARDICE AVE 481
EUSTIS, FL 32726
(800) 378-7597
1356122915 LEVIA STRIKER
Individual
Specialist/Technologist (Speech-Language Assistant)437 W ARDICE AVE SUITE 481
EUSTIS, FL 32726
(352) 747-4147
1821866500 CHANELLE GUTIERREZ
Individual
Specialist/Technologist (Speech-Language Assistant)437 W ARDICE AVE SUITE 481
EUSTIS, FL 32726
(352) 505-1354
1568290005 MEAGAN M AYERS COTA/L
Individual
Occupational Therapy Assistant437 W ARDICE AVE SUITE 481
EUSTIS, FL 32726
(352) 747-4147
1205581899 PAIGE NICOLE KWASIGROCH CCC-SLP
Individual
Speech-Language Pathologist437 W ARDICE AVE
EUSTIS, FL 32726
(352) 747-4147
1760299853FST BEHAVIORAL
Organization
Behavior Analyst437 W ARDICE AVE SUITE 481
EUSTIS, FL 32726
(800) 378-7597
1851188064 DAIJA LEANNE IRIZARRY CF-SLP
Individual
Speech-Language Pathologist437 W ARDICE AVE SUITE 481
EUSTIS, FL 32726
(352) 747-4147
1215636972 JANIERLY SALCEDO
Individual
Behavior Technician437 W ARDICE AVE SUITE 481
EUSTIS, FL 32726
(352) 747-4147
1699568022 DESTINY PINIERO AGUIRRE
Individual
Specialist/Technologist (Speech-Language Assistant)437 W ARDICE AVE SUITE 481
EUSTIS, FL 32726
(352) 747-4147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154187995, enumerated in the NPI registry as an "individual" on February 27, 2024

The provider is located at 437 W Ardice Ave Suite 481 Eustis, Fl 32726 and the phone number is (407) 530-5063

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on February 27, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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