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Alicia Jaclyn White, BCBA
Behavioral Analyst in South Bend, Indiana
NPI 1013373562

Alicia Jaclyn White is a Behavioral Analyst based in Indianapolis, IN. Alicia Jaclyn White practices in South Bend, IN and has the professional credentials of BCBA. The NPI Number for Alicia Jaclyn White is 1013373562 and holds a License No. 1-15-21144 (Indiana).

The current practice location address for Alicia Jaclyn White is 17390 Dugdale Drive, South Bend, IN and can be reached out via phone at 574-400-2169 and via fax at 765-450-6664. You can also correspond with Alicia Jaclyn White through the mailing address at 3500 DEPAUW BOULEVARD, INDIANAPOLIS, IN - 46268-6135 (mailing address contact number: 855-324-0885).

Location: 17390 Dugdale Drive, South Bend, IN, 46268-6135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013373562
Provider Name
Alicia Jaclyn White
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
17390 Dugdale Drive, South Bend, IN, 46268-6135
Phone Number
574-400-2169
Fax Number
765-450-6664
Provider Enumeration Date
01/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300009394 05 IN
1-15-21144 01 BCBA CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
17390 Dugdale Drive
City
South Bend
State
Indiana
Zip
46635-1512
Phone Number
574-400-2169
Fax Number
765-450-6664
person
Provider Business Mailing Address Details
Address
3500 Depauw Boulevard
City
Indianapolis
State
Indiana
Zip
46268-6135
Phone Number
855-324-0885
Fax Number
765-450-6664
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
1-15-21144 (Indiana)
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
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