JACOB MATHENY DESUYO DSL, BCBA
NPI 1104626886
Behavior Analyst in Saint Augustine, FL

Q: What is Jacob Desuyo's NPI number?

The NPI number for Jacob Desuyo is 1104626886. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Q: What is Jacob Desuyo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Desuyo was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 13, 2025

204 GALLICIA AVE, SAINT AUGUSTINE, FL 32086(904) 401-7144 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacob Matheny Desuyo Dsl, Bcba NPPES

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

JACOB MATHENY DESUYO DSL, BCBA (NPI 1104626886) is an individual behavior analyst provider in Saint Augustine, Florida, licensed in Florida (125792235) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1104626886

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameJACOB MATHENY DESUYOCredential: DSL, BCBA

Location Address204 GALLICIA AVESaint Augustine, FL 32086-8838

Mailing Address204 Gallicia AveSaint Augustine, FL 32086-8838 · (904) 401-7144

Phone(904) 401-7144

Sole ProprietorYes

Enumeration DateMarch 13, 2025

NPPES CertifiedMarch 13, 2025

✔ NPI 1104626886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 125792235

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.

204 GALLICIA AVE, Saint Augustine, FL 32086

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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 Jacob Desuyo's NPI number?

The NPI number for Jacob Desuyo is 1104626886. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Jacob Desuyo located?

Jacob Desuyo practices at 204 Gallicia Ave, Saint Augustine, FL 32086. The listed phone number is (904) 401-7144.

What is Jacob Desuyo's specialty?

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

What insurance does Jacob Desuyo accept?

Health plans from WellSense Health Plan list Jacob Desuyo 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 Jacob Desuyo was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.