Individual provider Active NPI

Jocelin Marie Hyatt, BCBA

  • Behavior Analyst
  • Brookfield, WI
National Provider Identifier
1104326461
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-29629 Issued in WI
Practice address
330 S Executive Dr Ste 210
Brookfield, WI 53005-4274
Phone
(262) 737-8400
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 15-03496
Behavior Analyst 103K00000X 1-18-29629 WI Primary

Addresses

Primary practice location

330 S Executive Dr Ste 210
Brookfield, WI 53005-4274

Mailing address

330 S Executive Dr Ste 210
Brookfield, WI 53005-4274

Other practice location 1

12075 Corporate Pkwy
Mequon, WI 53092-2665
Phone (877) 486-4140

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caravel Autism Health, LLC Behavior Analyst Past Accepting new patients
Integrated Developmental Services, Inc Past Accepting new patients
Caravel Counseling and Diagnostics SC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1104326461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S EXECUTIVE DR STE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S EXECUTIVE DR STE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054274",
            "telephone_number": "262-737-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12075 Corporate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530922665",
            "country_code": "US",
            "telephone_number": "877-486-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYATT",
        "first_name": "JOCELIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "15-03496",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1-18-29629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.