JEREMIAH STILLWAGON
NPI 1083545461
Behavior Technician in South Bend, IN

Active since May 26, 2026
17551 GENERATIONS DR, SOUTH BEND, IN 46635(574) 400-2169 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremiah Stillwagon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH STILLWAGON (NPI 1083545461) is an individual behavior technician in South Bend, Indiana and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1083545461
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJEREMIAH STILLWAGON
Location Address17551 GENERATIONS DRSouth Bend, IN 46635-1589
Mailing Address3500 Depauw BlvdIndianapolis, IN 46268-1170 · (855) 324-0885
Sole ProprietorNo
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1083545461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
17551 GENERATIONS DR, South Bend, IN 46635

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
Behavior Analyst
17551 GENERATIONS DR
SOUTH BEND, IN 46635
Behavior Analyst
17551 GENERATIONS DR
SOUTH BEND, IN 46635
Speech-Language Pathologist
17551 GENERATIONS DR
SOUTH BEND, IN 46635
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Stillwagon's NPI number?

The NPI number for Jeremiah Stillwagon is 1083545461. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Jeremiah Stillwagon located?

Jeremiah Stillwagon practices at 17551 Generations Dr, South Bend, IN 46635. The listed phone number is (574) 400-2169.

What is Jeremiah Stillwagon's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jeremiah Stillwagon was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.