Jacob Petway, DC, QME, IIE, BS

ActiveIndividual ProviderBehavior Technician
NPI issued: April 29, 2013

Quick Facts

NPI Number
1871938217
TypeIndividual
StatusActive
SpecialtyBehavior Technician
Taxonomy106S00000X — Behavior Technician
Phone
(530) 315-5594
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1871938217)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (April 29, 2013)
Data source: CMS NPPES

Provider Overview

JACOB PETWAY, DC, QME, IIE, BS is a Behavior Technician provider based in Sacramento, CA who has been registered with CMS since 2013. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1871938217
Provider TypeIndividual Provider
GenderMale
CredentialDC, QME, IIE, BS
StatusActive
Enumeration DateApril 29, 2013

Practice Location

CitySacramento
StateCA
ZIP Code95833-2328
Phone(530) 315-5594

Specialties & Licenses

★ Primary
SpecialtyBehavior Technician
Taxonomy Code106S00000X
License StateCA

Mailing Address

CitySacramento
StateCA
ZIP Code95833-2328
Phone(530) 315-5594
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1871938217 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1871938217for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1871938217 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Behavior Technician

Behavior Technicians work under the supervision of a Board Certified Behavior Analyst (BCBA) to implement behavioral therapy plans, typically assisting individuals with Autism Spectrum Disorder (ASD) or other developmental delays.

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572,432
Behavior Technician Providers in the US

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People Also Ask

What is Jacob Petway's NPI number?
Jacob Petway's NPI number is 1871938217, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jacob Petway's NPI currently active?
Yes, Jacob Petway's NPI status is Active as of the latest CMS NPPES database updates.
What does Jacob Petway specialize in?
Jacob Petway specializes in Behavior Technician. The healthcare taxonomy code associated with this specialty is 106S00000X.
Where does Jacob Petway practice?
Jacob Petway practices in Sacramento, CA 95833-2328.
When was Jacob Petway's NPI issued?
Jacob Petway's NPI was issued on April 29, 2013.
What is Jacob Petway's provider type?
Jacob Petway is registered as an Individual Provider under CMS NPI Type 1.