Jerry Idicula, M.ED., BCBA
NPI 1356711766 · Behavior Analyst · Grosse Pointe Park, MI
Jerry Idicula, M.ED., BCBA is a Behavior Analyst provider in Grosse Pointe Park, MI (NPI 1356711766).
Provider details
- NPI number
- 1356711766
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- M.ED., BCBA
- Sex
- Male
- Sole proprietor
- No
- License
- 1-19-34854 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2015-09-28
- Last updated
- 2019-03-27
Frequently asked questions
- What is Jerry Idicula's NPI number?
- Jerry Idicula's National Provider Identifier (NPI) is 1356711766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Idicula's specialty?
- Jerry Idicula is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Jerry Idicula located?
- Jerry Idicula's practice location on file with NPPES is 1332 Maryland St, Grosse Pointe Park, MI 48230.
- What is Jerry Idicula's phone number?
- The practice phone number listed in the NPPES registry for Jerry Idicula is (313) 288-9458.
- Is Jerry Idicula's NPI active?
- Yes — Jerry Idicula's NPI (1356711766) is active in the NPPES registry as of the last update on 2019-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.