JEANNINE MICKULAS
NPI 1245650407
Behavior Technician in Dix Hills, NY

Active since April 25, 2014
43 ARISTA DR, DIX HILLS, NY 11746(631) 683-4393 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannine Mickulas NPPES

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

JEANNINE MICKULAS (NPI 1245650407) is an individual behavior technician in Dix Hills, New York and active in the NPI registry since April 2014. She maintains a secondary practice location in Melville.

NPPES Registry Identity

NPI1245650407
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJEANNINE MICKULAS
Location Address43 ARISTA DRDix Hills, NY 11746-4920
Mailing Address43 Arista DrDix Hills, NY 11746-4920 · (631) 683-4393
Sole ProprietorYes
Enumeration DateApril 25, 2014
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1245650407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
43 ARISTA DR, Dix Hills, NY 11746

Secondary Practice Location 1

Location 1225 Broadhollow RdMelville, NY 11747-4822 · Phone (631) 385-7780

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
43 ARISTA DR
DIX HILLS, NY 11746
Student in an Organized Health Care Education/Training Program
43 ARISTA DR
DIX HILLS, NY 11746
Social Worker
43 ARISTA DR
DIX HILLS, NY 11746
Student in an Organized Health Care Education/Training Program
43 ARISTA DR
DIX HILLS, NY 11746
Student in an Organized Health Care Education/Training Program
43 ARISTA DR
DIX HILLS, NY 11746
Peer Specialist
43 ARISTA DR
DIX HILLS, NY 11746
Counselor
43 ARISTA DR
DIX HILLS, NY 11746
Counselor
43 ARISTA DR
DIX HILLS, NY 11746

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 Jeannine Mickulas's NPI number?

The NPI number for Jeannine Mickulas is 1245650407. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Jeannine Mickulas located?

Jeannine Mickulas practices at 43 Arista Dr, Dix Hills, NY 11746. The listed phone number is (631) 683-4393.

What is Jeannine Mickulas's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jeannine Mickulas was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.