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JILL ANN IDICULA
NPI 1093290553
Behavior Analyst in Clinton Township, MI

Active since October 01, 2018
UNIVERSITY PEDIATRICIANS AUTISM CENTER, 16700 17 MILE ROAD SUITE B, CLINTON TOWNSHIP, MI 48038(586) 228-2300(586) 228-2307 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Oct 1, 2018 (2 updates tracked since 2018).

About Jill Ann Idicula NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL ANN IDICULA (NPI 1093290553) is an individual behavior analyst provider in Clinton Township, Michigan, licensed in Michigan (7401001204) and active in the NPI registry since October 2018. She maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1093290553
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJILL ANN IDICULA
Location AddressUNIVERSITY PEDIATRICIANS AUTISM CENTER, 16700 17 MILE ROAD SUITE BClinton Township, MI 48038
Mailing Address1800 W Big Beaver Rd Ste 150Troy, MI 48084-3535 · (248) 918-5600
Phone(586) 228-2300
Fax(586) 228-2307
Sole ProprietorNo
Enumeration DateOctober 1, 2018
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1093290553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MI · 7401001204
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
UNIVERSITY PEDIATRICIANS AUTISM CENTER, Clinton Township, MI 48038
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Secondary Practice Location 1

Location 11800 W Big Beaver Rd Ste 150Troy, MI 48084-3535 · Phone (248) 918-5600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Idicula's NPI number?

The NPI number for Jill Idicula is 1093290553. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Where is Jill Idicula located?

Jill Idicula practices at University Pediatricians Autism Center 16700 17 Mile Road Suite B, Clinton Township, MI 48038. The listed phone number is (586) 228-2300.

What is Jill Idicula's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Jill Idicula accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jill Idicula as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jill Idicula was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.