Jerrold Jacobson, BCBA CAP LMHC is a
Behavior Analyst based in Arcadia, Florida. Jerrold Jacobson is licensed to practice in Florida (license number 1-01-0707) and his current practice location is
7422 Sw Horse Creek Rd, Arcadia, Florida. He can be reached at his office (for appointments etc.) via phone at
(863) 494-9251.
NPI number for Jerrold Jacobson is 1033413315 and his current mailing address is 7422 Sw Horse Creek Rd, Arcadia, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033413315.
Healthcare Provider's Profile
| Full Name | Jerrold Jacobson |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
|---|
| Location | 7422 Sw Horse Creek Rd, Arcadia, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033413315
- Provider Enumeration Date: 12/31/2010
- Last Update Date: 12/31/2010
Medical Identifiers
Medical identifiers for Jerrold Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033413315 | NPI | - | NPPES |
| 676127598 | Medicaid | FL | |
| 676127596 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2389 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH 4420 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | 1-01-0707 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerrold Jacobson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerrold Jacobson, BCBA CAP LMHC
7422 Sw Horse Creek Rd,
Arcadia, FL 34266-8894
Ph: (863) 494-9251 | Jerrold Jacobson, BCBA CAP LMHC
7422 Sw Horse Creek Rd,
Arcadia, FL 34266-8894
Ph: (863) 494-9251 |
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