Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUSTIN G JACOB
NPI 1538077649
Behavior Technician in Bronx, NY

Active since August 31, 2026
3921 WILDER AVE, BRONX, NY 10466(914) 364-6983 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 9, 2026, Aug 31, 2026 (2 updates tracked since 2026).

About Justin G Jacob NPPES

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

JUSTIN G JACOB (NPI 1538077649) is an individual behavior technician in Bronx, New York, licensed in New York (104146428) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1538077649
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJUSTIN G JACOB
Location Address3921 WILDER AVEBronx, NY 10466-2424
Mailing Address3921 Wilder AveBronx, NY 10466-2424 · (914) 364-6983
Sole ProprietorYes
Enumeration DateAugust 31, 2026
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1538077649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License✔ Licensed in NY · 104146428
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.
3921 WILDER AVE, Bronx, NY 10466

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Justin Jacob's NPI number?

The NPI number for Justin Jacob is 1538077649. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Where is Justin Jacob located?

Justin Jacob practices at 3921 Wilder Ave, Bronx, NY 10466. The listed phone number is (914) 364-6983.

What is Justin Jacob'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 Justin Jacob was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.