Jacob Matheny Desuyo, DSL, BCBA
NPI 1104626886ActiveIndividual· Behavior Analyst· Saint Augustine, FL
Behavior Analyst (DSL, BCBA) in Saint Augustine, Florida, licensed in FL, with an NPI issued in March 2025.
Overview
| NPI | 1104626886 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DSL, BCBA |
| Sole proprietor | Yes |
| NPI issued | Mar 13, 2025 |
| Last updated in NPPES | Mar 13, 2025 |
| Certified by provider | Mar 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 125792235 | FL |
| Behavior Analyst | 103K00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Behavior Analyst providers in Saint Augustine
- 1174029201
- 1134930589
- 1942686233
- 1245693688
- 1700520558
- 1902586688
- 1912642109
- 1174281125
- 1134765522
- 1164377081
- 1063184596
- 1851665293