IndividualActive
Jennifer Iannuccilli
NPI 1790524635 · Behavior Technician · Montague, MI
Jennifer Iannuccilli is a Behavior Technician provider in Montague, MI (NPI 1790524635).
Provider details
- NPI number
- 1790524635
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 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
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
5775 Old Channel Trl
Montague, MI 49437-9301
Phone: (231) 740-7497
Approximate (ZIP-level) locationGet directions
Mailing address
5775 Old Channel Trl
Montague, MI 49437-9301
Registry dates
- Enumerated
- 2024-05-21
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Frequently asked questions
- What is Jennifer Iannuccilli's NPI number?
- Jennifer Iannuccilli's National Provider Identifier (NPI) is 1790524635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Iannuccilli's specialty?
- Jennifer Iannuccilli is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jennifer Iannuccilli located?
- Jennifer Iannuccilli's practice location on file with NPPES is 5775 Old Channel Trl, Montague, MI 49437-9301.
- What is Jennifer Iannuccilli's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Iannuccilli is (231) 740-7497.
- Is Jennifer Iannuccilli's NPI active?
- Yes — Jennifer Iannuccilli's NPI (1790524635) is active in the NPPES registry as of the last update on 2024-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.