Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL ANN IDICULA
ActiveJILL ANN IDICULA is a Behavior Analyst healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1093290553 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1093290553
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2018 (7.8968436970273 yrs)
- Last Updated
- Apr 5, 2021
- License
-
7401001204 (MI)
Practice Information
- Address
-
UNIVERSITY PEDIATRICIANS AUTISM CENTER16700 17 MILE ROAD SUITE BCLINTON TOWNSHIP, MI, 48038Browse MI providers · Browse ZIP 48038
- Phone
- 5862282300
- Fax
- 5862282307
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in CLINTON TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| MR. JAMIN I GAHM | M.A., B.C.B.A | 1851560734 |
| TIFFANY MARIE CLAUW | M.A., BCBA | 1992004816 |
| KRISTINE MICHELLE ODDO SHOAF | MA, BCBA | 1053657031 |
| MS. ANGELA KATHRYN PALIMINO | M.A., LLPC, BCBA | 1427498609 |
| MR. CHERIAN KOCHUPARAMPIL | BS PSYCHOLOGY | 1194149054 |
| REBECCA THORNHILL | — | 1790187276 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.