Jerry George Idicula, M.ED., BCBA

NPI #1356711766 in Grosse Pointe Park, Michigan

Provider Information

NPI Number
1356711766
Entity Type
Individual
Name
Jerry George Idicula, M.ED., BCBA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Analyst
Credential
M.ED., BCBA
Enumeration Date
Sep 28, 2015
Last Updated
Mar 27, 2019

Practice Location

Address
1332 MARYLAND ST
ZIP Code
48230
Phone
(313) 288-9458

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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