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JENNIFER STAM FOUNTAIN BCBA, LBA
NPI 1942010673
Behavior Analyst in Kirksville, MO

Active since January 14, 2025
606 S HALLIBURTON ST, KIRKSVILLE, MO 63501(660) 785-7551 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Stam Fountain Bcba, Lba NPPES

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

JENNIFER STAM FOUNTAIN BCBA, LBA (NPI 1942010673) is an individual behavior analyst provider in Kirksville, Missouri, licensed in Missouri (2024007670) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1942010673
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJENNIFER STAM FOUNTAINCredential: BCBA, LBA
Location Address606 S HALLIBURTON STKirksville, MO 63501-3712
Mailing Address807 Greenway DrKirksville, MO 63501-2027 · (660) 341-2686
Phone(660) 785-7551
Sole ProprietorNo
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1942010673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MO · 2024007670
Definition
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.
606 S HALLIBURTON ST, Kirksville, MO 63501
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Other Providers at the Same Location NPPES 3

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

TRUMAN STATE UNIVERSITY
Behavior Analyst
606 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 785-7551
DR. MARYELLEN KOCH JENSEN DC, MSED, BCBA, LBA
Behavior Analyst
606 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 341-1105
EMILY ANN JENNINGS MSED, BCBA
Behavior Analyst
606 S HALLIBURTON ST
KIRKSVILLE, MO 63501
Adair County (660) 785-7551

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 Jennifer Stam Fountain's NPI number?

The NPI number for Jennifer Stam Fountain is 1942010673. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Jennifer Stam Fountain located?

Jennifer Stam Fountain practices at 606 S Halliburton St, Kirksville, MO 63501. The listed phone number is (660) 785-7551.

What is Jennifer Stam Fountain's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Stam Fountain was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.