TATE RYLEY JACOBSON
NPI 1679288344
Behavior Analyst in Fort Wayne, IN

Q: What is Tate Jacobson's NPI number?

The NPI number for Tate Jacobson is 1679288344. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Q: What is Tate Jacobson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tate Jacobson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 17, 2023

4422 E STATE BLVD, FORT WAYNE, IN 46815(260) 471-9263(317) 520-8200 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Jan 17, 2023 (2 updates tracked since 2023).

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About Tate Ryley Jacobson NPPES

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

TATE RYLEY JACOBSON (NPI 1679288344) is an individual behavior analyst provider in Fort Wayne, Indiana, licensed in Indiana (1-25-80017) and active in the NPI registry since January 2023. He maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1679288344

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameTATE RYLEY JACOBSON

Location Address4422 E STATE BLVDFort Wayne, IN 46815-6917

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(260) 471-9263

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateJanuary 17, 2023

Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1679288344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in IN · 1-25-80017

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

4422 E STATE BLVD, Fort Wayne, IN 46815

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Secondary Practice Location 1

Location 1201 E Rudisill Blvd Ste 100BFort Wayne, IN 46806-1756 · Phone (260) 615-1450

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

AUSTIN WILLIAMS RBT

Behavior Technician