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

Jaison Jacob

Individual provider Behavior Technician · NPI 1649887845

Jaison Jacob is a Behavior Technician in Melville, New York. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Phone: (631) 385-7780
Fax: (631) 385-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1649887845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

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