Individual provider Active NPI

Jay Edward Novicki, BCBA

  • Behavior Analyst
  • Surprise, AZ
National Provider Identifier
1922919430
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
12100 N Dysart Rd
Surprise, AZ 85379-3308
Phone
(602) 887-8268
NPI assigned
Sep 14, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X AZ Primary

Addresses

Primary practice location

12100 N Dysart Rd
Surprise, AZ 85379-3308

Mailing address

16991 W Hope Dr
Surprise, AZ 85388-6127
Phone (602) 887-8268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1922919430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16991 W HOPE DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853886127",
            "telephone_number": "602-887-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 N DYSART RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853793308",
            "telephone_number": "602-887-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICKI",
        "first_name": "JAY",
        "middle_name": "EDWARD",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.