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

Individual provider Behavior Analyst · NPI 1356711766

Jerry George Idicula, MED, BCBA is a Behavior Analyst in Grosse Pointe Park, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1332 Maryland St
Grosse Pointe Park, MI 48230
Phone: (313) 288-9458
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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 1-19-34854 (MI)

Record details

NPI number1356711766
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , BCBA
Sole proprietorNo
NPI enumeratedSeptember 28, 2015
Last updated in NPPESMarch 27, 2019

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