Individual provider · Type 1 NPI

Jennifer Stam Fountain, BCBA, LBA

Behavior Analyst · Kirksville, MO

NPI number 1942010673 Active

Practice location

606 S Halliburton St
Kirksville, MO 63501-3712

Call (660) 785-7551 Map

Mailing address

807 Greenway Dr
Kirksville, MO 63501-2027

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X2024007670 (MO)

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 1942010673

Jennifer Stam Fountain, BCBA, LBA's National Provider Identifier is 1942010673, issued on Jan 14, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Kirksville, MO. The record was last updated on Jan 14, 2025.