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

Jill Ann Idicula

Individual provider Behavior Technician · NPI 1093290553

Jill Ann Idicula is a Behavior Technician in Clinton Township, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Partly verified

Some contact details are missing from the federal record.

University Pediatricians Autism Center 16700 17 Mile Rd Ste B
Clinton Township, MI 48038
Phone: (586) 228-2300
Fax: (586) 228-2307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 W Big Beaver Rd Ste 150, Troy, MI 48084-3535 — (248) 918-5600

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401001204 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1093290553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2018
Last updated in NPPESApril 5, 2021
Certification dateMarch 15, 2021

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