JACOB SAMUEL GOTTLIEB
NPI 1497550636
Behavior Technician in Fort Wayne, IN

Active since February 13, 2025
2270 LAKE AVE, FORT WAYNE, IN 46805(260) 444-5649 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Samuel Gottlieb NPPES

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

JACOB SAMUEL GOTTLIEB (NPI 1497550636) is an individual behavior technician in Fort Wayne, Indiana and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1497550636
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACOB SAMUEL GOTTLIEB
Location Address2270 LAKE AVEFort Wayne, IN 46805-5359
Mailing Address2270 Lake AveFort Wayne, IN 46805-5359 · (260) 444-5649
Sole ProprietorNo
Enumeration DateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
NPI 1497550636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2270 LAKE AVE, Fort Wayne, IN 46805

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.

Behavior Technician
2270 LAKE AVE
FORT WAYNE, IN 46805
Behavior Technician
2270 LAKE AVE
FORT WAYNE, IN 46805
Behavior Technician
2270 LAKE AVE
FORT WAYNE, IN 46805
Behavior Technician
2270 LAKE AVE
FORT WAYNE, IN 46805
Behavior Analyst
2270 LAKE AVE
FORT WAYNE, IN 46805
Behavior Technician
2270 LAKE AVE
FORT WAYNE, IN 46805
Behavior Technician
2270 LAKE AVE
FORT WAYNE, IN 46805
Behavior Analyst
2270 LAKE AVE
FORT WAYNE, IN 46805

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 Gottlieb's NPI number?

The NPI number for Jacob Gottlieb is 1497550636. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Jacob Gottlieb located?

Jacob Gottlieb practices at 2270 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 444-5649.

What is Jacob Gottlieb'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 Jacob Gottlieb was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.