KELLY JACOBSON
NPI 1568968329
Behavior Technician in Novi, MI

Active since April 02, 2018
41521 W 11 MILE RD, NOVI, MI 48375(248) 299-0030 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Jacobson NPPES

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

KELLY JACOBSON (NPI 1568968329) is an individual behavior technician in Novi, Michigan and active in the NPI registry since April 2018. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1568968329
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKELLY JACOBSON
Location Address41521 W 11 MILE RDNovi, MI 48375-1803
Mailing Address3236 Se Harvey St Apt 6Milwaukie, OR 97222-6590 · (503) 449-6853
Sole ProprietorYes
Enumeration DateApril 2, 2018
Last NPPES UpdateDecember 12, 2018
NPI 1568968329 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 ListedPeer SpecialistTaxonomy 175T00000X · License THW000002598 (OR)
41521 W 11 MILE RD, Novi, MI 48375

Secondary Practice Location 1

Location 12701 NW Vaughn St Ste 360Portland, OR 97210-5376 · Phone (503) 968-3487 · Fax (503) 227-0676

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
41521 W 11 MILE RD
NOVI, MI 48375
Behavior Technician
41521 W 11 MILE RD
NOVI, MI 48375
Behavior Technician
41521 W 11 MILE RD
NOVI, MI 48375
Behavior Technician
41521 W 11 MILE RD
NOVI, MI 48375
Behavior Technician
41521 W 11 MILE RD
NOVI, MI 48375
Behavior Technician
41521 W 11 MILE RD
NOVI, MI 48375
Behavior Technician
41521 W 11 MILE RD
NOVI, MI 48375
Behavior Technician
41521 W 11 MILE RD
NOVI, MI 48375

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 Kelly Jacobson's NPI number?

The NPI number for Kelly Jacobson is 1568968329. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Kelly Jacobson located?

Kelly Jacobson practices at 41521 W 11 Mile Rd, Novi, MI 48375. The listed phone number is (248) 299-0030.

What is Kelly Jacobson'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 Kelly Jacobson was last updated on December 12, 2018. 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.