Jamie Yvonne Custodio
Behavior Technician β’ Eielson Afb, AK
2462 Bald Eagle Ln Apt D
Eielson Afb, AK 997024007
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
2462 Bald Eagle Ln Apt D
Eielson Afb, AK 997024007
What Public CMS Data Show
Behavior Technician: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Eielson Afb and Alaska
1 active clinicians are listed under Behavior Technician with a practice address in Eielson Afb, AK (1,363 in Alaska).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-01-17NUCC Taxonomy Code: 106S00000X
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2462 BALD EAGLE LN APT D, EIELSON AFB, AK 997024007 (Tel: 9253056722)
Registered at 2462 BALD EAGLE LN APT D, EIELSON AFB, AK 997024007 (Tel: 9253056722)
Recorded as JAMIE CUSTODIO
NPI status registered as active in NPPES database
Registered at 877 YGNACIO VALLEY RD STE 100, WALNUT CREEK, CA 945963897 (Tel: 9254823330)
Registered at 877 YGNACIO VALLEY RD STE 100, WALNUT CREEK, CA 945963897 (Tel: 9254823330)
Recorded as JAMIE LEE
Behavior Technician
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
2462 Bald Eagle Ln Apt D
Eielson Afb, AK 997024007
Phone: 9253056722