JEANNINE MICKULAS NPI 1245650407

NPI Information

  • NPI: 1245650407
  • Provider Name: JEANNINE MICKULAS
  • Classification: Behavior Technician - 106S00000X
  • Entity Type: Individual
  • Address: 43 ARISTA DR
    DIX HILLS, NY
    ZIP 11746
  • Phone: (631) 683-4393

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NPI Details

Jeannine Mickulas is a behavior technician in Dix Hills, NY. The provider is the behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. Jeannine Mickulas NPI is 1245650407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

43 ARISTA DR
DIX HILLS, NY
ZIP 11746-920
Phone: (631) 683-4393

The enumeration date for this NPI number is 4/25/2014 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2106S00000XBehavior TechnicianYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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