Active NPI
Stanford Bernard Jacobs
- Behavior Technician
- Pikesville, MD
National Provider Identifier
1083558332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 115 Sudbrook LN Ste F
Pikesville, MD 21208-4184 - Phone
- (443) 353-9547
- NPI assigned
- Apr 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
115 Sudbrook LN Ste F
Pikesville, MD 21208-4184
Mailing address
115 Sudbrook LN Ste a
Pikesville, MD 21208-4184
Phone (443) 353-9547
Other names 1
- Stan Jacobs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1083558332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SUDBROOK LN STE A",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084184",
"telephone_number": "443-353-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SUDBROOK LN STE F",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084184",
"telephone_number": "443-353-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "STANFORD",
"middle_name": "BERNARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-16",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STAN",
"last_name": "JACOBS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.