IndividualActive
Jacob Wilson, RBT
NPI 1154187995 · Behavior Technician · Eustis, FL
Provider details
- NPI number
- 1154187995
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- Yes
- License
- BACB1068402 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
437 W Ardice Ave
Suite 481
Eustis, FL 32726-3408
Phone: (407) 530-5063
Street-level locationGet directions
Mailing address
38413 Deerwoods Dr
Eustis, FL 32736-9492
Registry dates
- Enumerated
- 2024-02-27
- Last updated
- 2024-05-08
- Certified
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.