Jerry George Idicula, M.ED., BCBA
NPI 1356711766ActiveIndividual· Behavior Analyst· Grosse Pointe Park, MI
Behavior Analyst (M.ED., BCBA) in Grosse Pointe Park, Michigan, licensed in MI, with an NPI issued in September 2015.
Overview
| NPI | 1356711766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.ED., BCBA |
| Sole proprietor | No |
| NPI issued | Sep 28, 2015 |
| Last updated in NPPES | Mar 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-19-34854 | MI |
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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