Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Matheny Desuyo, DSL, BCBA

Individual provider Behavior Analyst · NPI 1104626886

Jacob Matheny Desuyo, DSL, BCBA is a Behavior Analyst in Saint Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

204 Gallicia Ave
Saint Augustine, FL 32086-8838
Phone: (904) 401-7144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 125792235 (FL)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1104626886
Entity typeIndividual (Type 1)
GenderMale
Credentials DSL , BCBA
Sole proprietorYes
NPI enumeratedMarch 13, 2025
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

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