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

Jacob Miceli

Individual provider Behavior Analyst · NPI 1619447323

Jacob Miceli is a Behavior Analyst in Riverbank, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone: (209) 521-4791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-64992 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1619447323
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing addressDept La 22763, Pasadena, CA 91185-0001

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