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Jacob Boaz

Behavior Analyst β€’ Tyler, TX

Active NPI 1164291449 Individual Practitioner Male Practitioner
Practice location in NPPES

1910 Se Loop 323, #382
Tyler, TX 757018337

Call 8558326727 Location details and other listings
Medical Disclaimer

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

Practice Address

1910 Se Loop 323
#382

Tyler, TX 757018337

Telephone 8558326727
Fax 7726759100
Organization at the Same NPPES Address or Phone
Positive Behavior Supports Corporation Facility NPI 1073478780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tyler and Texas

36 active clinicians are listed under Behavior Analyst with a practice address in Tyler, TX (5,843 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tyler

0% of these 36 clinicians have the CMS telehealth indicator.

0% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

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: 2026-03-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES TX 8960

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location March 03, 2026

Registered at 1910 SE LOOP 323, #382, TYLER, TX 757018337 (Tel: 8558326727)

πŸ“
Updated Practice Location November 21, 2025

Registered at 1910 EAST SOUTHEAST LOOP 323 # 382, TYLER, TX 757018337 (Tel: 8558326727)

πŸ“
Updated Business Mailing Address November 21, 2025

Registered at 7108 SOUTH KANNER HWY, STUART, FL 349977462

πŸ“
Updated Practice Location October 06, 2025

Registered at 1910 E SOUTHEAST LOOP 323 # 382, TYLER, TX 757018337 (Tel: 8558326727)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Behavior Analyst (license number reported to NPPES: TX 8960)

βœ…
NPI Profile Active December 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 27, 2023

Registered at 1319 E IDEL ST, TYLER, TX 757012230 (Tel: 9035229101)

πŸ“
Business Mailing Address (Initial Record) December 27, 2023

Registered at 7108 S KANNER HWY, STUART, FL 349977462

πŸ‘€
Provider Name / Credentials (Initial Record) December 27, 2023

Recorded as JACOB BOAZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2023

Behavior Technician

🟒
Initial NPI Registration & Enumeration December 27, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164291449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2023
Last Update: March 03, 2026
Sole Proprietor: Yes

Mailing Address

7108 South Kanner Hwy

Stuart, FL 349977462

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.