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JACK BUNDY
NPI 1205304607
Behavior Analyst in Cleveland, OH

Active since November 05, 2018
5923 RIDGEBURY BLVD, CLEVELAND, OH 44124(440) 637-3599 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2019, Nov 5, 2018 (2 updates tracked since 2018).

About Jack Bundy NPPES

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

JACK BUNDY (NPI 1205304607) is an individual behavior analyst provider in Cleveland, Ohio, licensed in Ohio (BACB471643) and active in the NPI registry since November 2018. He maintains a secondary practice location in Westerville.

NPPES Registry Identity

NPI1205304607
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJACK BUNDY
Location Address5923 RIDGEBURY BLVDCleveland, OH 44124-1638
Mailing AddressDept 781625 Po Box 78000Detroit, MI 48278-1625 · (614) 355-8004
Phone(440) 637-3599
Sole ProprietorNo
Enumeration DateNovember 5, 2018
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1205304607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in OH · BACB471643
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
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5923 RIDGEBURY BLVD, Cleveland, OH 44124
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Secondary Practice Location 1

Location 1187 W Schrock RdWesterville, OH 43081-2890 · Phone (614) 355-7500

Other Identifiers 1

Medicaid1473276OH

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 Jack Bundy's NPI number?

The NPI number for Jack Bundy is 1205304607. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Jack Bundy located?

Jack Bundy practices at 5923 Ridgebury Blvd, Cleveland, OH 44124. The listed phone number is (440) 637-3599.

What is Jack Bundy's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Bundy was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.