NPI 1992588933 · live from the CMS NPI Registry
Jaday Alicea
Behavior Analyst in Gordon, GA. National Provider Identifier 1992588933, active.
NPI record
| NPI | 1992588933 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 109 Sarah Kate Way, Gordon, GA 31031 |
| Practice phone | 321-591-8186 |
| Mailing address | 150 W University Blvd, Melbourne, FL 32901 |
| Enumerated | August 15, 2023 |
| Last updated | October 23, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | LBA003247 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.