Jacob Cleveland Zuvanich, M. ED., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2105 E Park St
Cedar Park, TX 78613-4598

Phone

(512) 772-2295

NPI assigned

Aug 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Able Pediatric Health

  • Multi-Specialty Clinic/Center
  • Tukwila, WA
  • NPI 1245728534
  NPD (past)
• Ican America

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508325929
  NPD (past)
• Lakeside Center for Autism, LLC

  • Speech-Language Pathologist
  • Bellevue, WA
  • NPI 1588802953
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1437525698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E PARK ST",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E PARK ST",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134598",
            "telephone_number": "512-772-2295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Village Park Dr SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98006",
            "country_code": "US",
            "telephone_number": "425-657-0620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 Strander Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "98188",
            "country_code": "US",
            "telephone_number": "206-313-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 Strander Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "98188",
            "country_code": "US",
            "telephone_number": "206-313-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUVANICH",
        "first_name": "JACOB",
        "middle_name": "CLEVELAND",
        "credential": "M. ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60772043",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Zimmerman, PT, DPT
• Stephanie L Zimmermann, LCSW
• Zina a Eluri LLC
• Brandon Keith Zinn, DO
• Jillian Zuboy, LPC-INTERN

• Behavior Analyst in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.