Wendy Lynn Jacobs, BCBA
Individual provider Active NPI Behavior Analyst · Lauderdale Lakes, FL
NPI 1770904591 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1770904591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-01-0556 (FL)
- Practice address
- 4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867 - Phone
- (561) 323-6593
- NPI assigned
- Dec 20, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Cares of Florida LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-01-0556 | FL | Yes |
Addresses
Primary practice location
4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Mailing address
4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone (561) 323-6593
Other practice location 1
4163 NW Federal Hwy
Jensen Beach, FL 34957-3623
Phone (561) 879-6377
Other providers in Lauderdale Lakes, FL
- Ip & Trademark Services LLC
- Louis Isaacson
- J&R Care Finders, Inc
- Karytha Jackson
- Jobin Jacob
- Woodjina Jacques
- Jaime S Rejtman MD PA
- Antoinette James Fisher
- Jaswant Singh Pannu MD PA
- Jaytee Clinicians
All providers in Lauderdale Lakes, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.