Jill Ann Idicula
NPI 1093290553ActiveIndividual· Behavior Analyst· Clinton Township, MI
Behavior Analyst in Clinton Township, Michigan, licensed in MI, with an NPI issued in October 2018.
Overview
| NPI | 1093290553 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 1, 2018 |
| Last updated in NPPES | Apr 5, 2021 |
| Certified by provider | Mar 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 7401001204 | MI |
| Behavior Technician | 106S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 45 behavior analysts in Clinton Township · All behavior analysts in Michigan