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

Jacob Tipton

Individual provider Behavior Technician · NPI 1407352610

Jacob Tipton is a Behavior Technician in Detroit, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
5

Practice location Address checks out

7310 Woodward Ave
Detroit, MI 48202-3165
Phone: (313) 896-1444
Show map & directions

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

Additional practice locations (1)

  • 23580 Orchard Lake Rd, Farmington Hills, MI 48336-3241 — (248) 957-6444

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6362009753 (MI)
Behavior Technician Taxonomy 106S00000X (MI)
Behavior Technician Taxonomy 106S00000X
Other Technician Taxonomy 247200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407352610
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2018
Last updated in NPPESAugust 10, 2023
Certification dateSeptember 27, 2022
Mailing address8106 E Jefferson Ave Apt D307, Detroit, MI 48214-8055

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