What is Elly Marie Jacob's NPI number?

Elly Marie Jacob's National Provider Identifier (NPI) is 1144056094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Elly Marie Jacob's specialty?

Elly Marie Jacob is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Elly Marie Jacob located?

Elly Marie Jacob's practice location on file with NPPES is 1801 American Blvd E, Bloomington, MN 55425-1232.

What is Elly Marie Jacob's phone number?

The practice phone number listed in the NPPES registry for Elly Marie Jacob is (952) 767-2267.

Is Elly Marie Jacob's NPI active?

Yes — Elly Marie Jacob's NPI (1144056094) is active in the NPPES registry as of the last update on 2024-09-09.

IndividualActive

Elly Marie Jacob

NPI 1144056094 · Behavior Technician · Bloomington, MN

Elly Marie Jacob is a Behavior Technician provider in Bloomington, MN (NPI 1144056094).

Provider details

NPI number: 1144056094
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1801 American Blvd E

Bloomington, MN 55425-1232

Phone: (952) 767-2267

Street-level locationGet directions

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Mailing address