Individual provider · Type 1 NPI

Jaclyn Nystrom

Behavior Analyst · Fishers, IN

NPI number 1124797378 Active

Practice location

11807 Allisonville Rd # 522
Fishers, IN 46038-2313

Call (317) 572-5315 Map

Mailing address

14512 Brecon Ln
Carmel, IN 46074-6042

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X95001491A (IN)
Behavior Analyst 103K00000X1-24-71865 (IN)

Behavior Analyst: 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…

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About NPI 1124797378

Jaclyn Nystrom's National Provider Identifier is 1124797378, issued on Sep 10, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Fishers, IN. The record was last updated on Jun 23, 2026.