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Jerry George Idicula, MED,BCBA
Behavioral Analyst in Grosse Pointe Park, Michigan
NPI 1356711766

Jerry George Idicula is a Behavioral Analyst based in Grosse Pointe Park, MI. Jerry George Idicula practices in Grosse Pointe Park, MI and has the professional credentials of MED,BCBA. The NPI Number for Jerry George Idicula is 1356711766 and holds a License No. 1-19-34854 (Michigan).

The current practice location address for Jerry George Idicula is 1332 Maryland St, Grosse Pointe Park, MI and can be reached out via phone at 313-288-9458. You can also correspond with Jerry George Idicula through the mailing address at 1332 MARYLAND ST, GROSSE POINTE PARK, MI - 48230-1006 (mailing address contact number: 313-288-9458).

Location: 1332 Maryland St, Grosse Pointe Park, MI, 48230-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356711766
Provider Name
Jerry George Idicula
Credential
MED,BCBA
Provider Entity Type
Individual
Gender
Male
Address
1332 Maryland St, Grosse Pointe Park, MI, 48230-1006
Phone Number
313-288-9458
Fax Number
Provider Enumeration Date
09/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1332 Maryland St
City
Grosse Pointe Park
State
Michigan
Zip
48230
Phone Number
313-288-9458
Fax Number
person
Provider Business Mailing Address Details
Address
1332 Maryland St
City
Grosse Pointe Park
State
Michigan
Zip
48230
Phone Number
313-288-9458
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
1-19-34854 (Michigan)
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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