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JERRY GEORGE IDICULA M.ED., BCBA
NPI 1356711766
Behavior Analyst in Grosse Pointe Park, MI

Active since September 28, 2015
1332 MARYLAND ST, GROSSE POINTE PARK, MI 48230(313) 288-9458 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry George Idicula M.ed., Bcba NPPES

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

JERRY GEORGE IDICULA M.ED., BCBA (NPI 1356711766) is an individual behavior analyst provider in Grosse Pointe Park, Michigan, licensed in Michigan (1-19-34854) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1356711766
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJERRY GEORGE IDICULACredential: M.ED., BCBA
Location Address1332 MARYLAND STGrosse Pointe Park, MI 48230
Mailing Address1332 Maryland StGrosse Pointe Park, MI 48230-1006 · (313) 288-9458
Phone(313) 288-9458
Sole ProprietorNo
Enumeration DateSeptember 28, 2015
Last NPPES UpdateMarch 27, 2019
✔ NPI 1356711766 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 MI · 1-19-34854
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.
1332 MARYLAND ST, Grosse Pointe Park, MI 48230
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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 and more.Insurance ›

Other Providers at the Same Location NPPES

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

CARLY STEINER M.ED, BCBA
Behavior Analyst
1332 MARYLAND ST
GROSSE POINTE PARK, MI 48230
Wayne County (248) 915-8315

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 Jerry Idicula's NPI number?

The NPI number for Jerry Idicula is 1356711766. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Jerry Idicula located?

Jerry Idicula practices at 1332 Maryland St, Grosse Pointe Park, MI 48230. The listed phone number is (313) 288-9458.

What is Jerry Idicula's specialty?

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

What insurance does Jerry Idicula accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Jerry 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 Jerry Idicula was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.