Jacob Hugaboom

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1197 Issued in CT

Practice address

2666 State St Ste A3
Hamden, CT 06517-2232

Phone

(888) 754-0398

NPI assigned

Jan 11, 2021

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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

• Newmeadow, Inc.

  • Early Intervention Provider Agency
  • Clifton Park, NY
  • NPI 1831342963
  NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1538758032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTH PLAINS HIGHWAY",
            "address_2": "SUITE 15",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064920088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 STATE ST STE A3",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172232",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Sitterly Rd",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120655613",
            "country_code": "US",
            "telephone_number": "518-899-9235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 North Plains Highway",
            "address_2": "Suite 15",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064920088",
            "country_code": "US",
            "telephone_number": "203-234-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGABOOM",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willa C Horowitz, AU.D., CCC-A, FAAA
• Janice A. Howard, M.S.,CCC-A
• Theresa Howard
• Jennifer Hribko, LCSW
• Rhoena Huckaby
• Kayla Lynn Hulford
• Kevin James Hunt, MD
• Gordon C Hurlbert III, ATC, CSCS
• Dana Hurst, OT/L
• Christopher Husko, DO

• Behavior Analyst in Hamden, CT
• Providers in Hamden, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.