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

Jacob Roberts

Individual provider Behavior Technician · NPI 1538934674

Jacob Roberts is a Behavior Technician in Wilder, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1 Moock Rd
Wilder, KY 41071-5465
Phone: (855) 451-5171
Show map & directions

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

Additional practice locations (1)

  • 3319 Argent Blvd, Ridgeland, SC 29936-3266 — (854) 204-0440

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (KY)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1538934674
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address1 Moock Rd, Wilder, KY 41071-5465

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