Jaclyn Hoover, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33079 Issued in IN

Practice address

4105 N Walnut St
Muncie, IN 47303-5904

Phone

(765) 587-5244

Fax

(765) 281-6914

NPI assigned

Jan 16, 2019

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1295209955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 N WALNUT ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473035904",
            "telephone_number": "765-587-5244",
            "fax_number": "765-281-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 N WALNUT ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473035904",
            "telephone_number": "765-587-5244",
            "fax_number": "765-281-6914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Corporation Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "IN",
            "postal_code": "460648300",
            "country_code": "US",
            "telephone_number": "765-221-1186",
            "fax_number": "765-281-6914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "JACLYN",
        "name_prefix": "Miss",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-18-33079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Muncie, IN
• Providers in Muncie, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.