IndividualActive
Jamie Custodio
NPI 1205339470 · Behavior Technician · Eielson Afb, AK
Jamie Custodio is a Behavior Technician provider in Eielson Afb, AK (NPI 1205339470).
Provider details
- NPI number
- 1205339470
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs 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
2462 Bald Eagle Ln Apt D
Eielson Afb, AK 99702-4007
Phone: (925) 305-6722
Street-level locationGet directions
Mailing address
2462 Bald Eagle Ln Apt D
Eielson Afb, AK 99702-4007
Registry dates
- Enumerated
- 2018-03-14
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Frequently asked questions
- What is Jamie Custodio's NPI number?
- Jamie Custodio's National Provider Identifier (NPI) is 1205339470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jamie Custodio's specialty?
- Jamie Custodio is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jamie Custodio located?
- Jamie Custodio's practice location on file with NPPES is 2462 Bald Eagle Ln Apt D, Eielson Afb, AK 99702-4007.
- What is Jamie Custodio's phone number?
- The practice phone number listed in the NPPES registry for Jamie Custodio is (925) 305-6722.
- Is Jamie Custodio's NPI active?
- Yes — Jamie Custodio's NPI (1205339470) is active in the NPPES registry as of the last update on 2025-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.