1. Home
  2. Directory
  3. Michigan
  4. Canton
  5. Behavior Analyst
  6. NPI Profile

JACOB ALOYSIUS BERGEN
NPI 1891271706
Behavior Analyst in Canton, MI

Active since July 13, 2018
6223 N CANTON CENTER RD STE 210, CANTON, MI 48187(734) 203-7675(855) 568-2494 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2024, Jul 20, 2023, Jul 13, 2018 (3 updates tracked since 2018).

About Jacob Aloysius Bergen NPPES

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

JACOB ALOYSIUS BERGEN (NPI 1891271706) is an individual behavior analyst provider in Canton, Michigan, licensed in Michigan (1-23-66254) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1891271706
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJACOB ALOYSIUS BERGEN
Location Address6223 N CANTON CENTER RD STE 210Canton, MI 48187-2696
Mailing Address100 N Pacific Coast Hwy Ste 1400El Segundo, CA 90245-5602
Phone(734) 203-7675
Fax(855) 568-2494
Sole ProprietorNo
Enumeration DateJuly 13, 2018
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1891271706 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 · 1-23-66254
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.
6223 N CANTON CENTER RD STE 210, Canton, MI 48187
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

CALLIE WOODSIDE MS, BCBA
Behavior Analyst
6223 N CANTON CENTER RD STE 210
CANTON, MI 48187
Wayne County (734) 203-7675
MADELYN ELIZABETH LOWNEY
Behavior Technician
6223 N CANTON CENTER RD STE 210
CANTON, MI 48187
Wayne County (734) 203-7675
IAN D MCGARVEY BCBA
Behavior Analyst
6223 N CANTON CENTER RD STE 210
CANTON, MI 48187
Wayne County (317) 946-9577

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 Bergen's NPI number?

The NPI number for Jacob Bergen is 1891271706. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Jacob Bergen located?

Jacob Bergen practices at 6223 N Canton Center Rd Ste 210, Canton, MI 48187. The listed phone number is (734) 203-7675.

What is Jacob Bergen's specialty?

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

What insurance does Jacob Bergen accept?

Health plans from Providence Health Plan list Jacob Bergen 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 Jacob Bergen was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.