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

Tia Jaenicke, BCBA

Individual provider Behavior Analyst · NPI 1750928305

Tia Jaenicke, BCBA is a Behavior Analyst in Indianapolis, Indiana. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

6855 Shore Ter Ste 130
Indianapolis, IN 46254-4663
Phone: (855) 772-8847
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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 1-19-37151
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1750928305
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedDecember 3, 2019
Last updated in NPPESAugust 30, 2025
Certification dateAugust 30, 2025

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