Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942010673 Individual Practitioner Female Practitioner

Jennifer Stam Fountain , BCBA, LBA

Behavior Analyst • Kirksville, MO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jennifer Stam Fountain, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Kirksville, MO. Official NPI practice address is registered at 606 S HALLIBURTON ST.

Practice Location & Contact Primary Location

Practice Address

606 S Halliburton St

Kirksville, MO 635013712

Telephone 6607857551
Associated Practice Facility / Clinic
🏢 Truman State University Facility NPI 1578890869

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Kirksville, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Kirksville, MO (1191 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MO 2024007670

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1861241598

Master of Science in Education, Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 14, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2025

Registered at 606 S HALLIBURTON ST, KIRKSVILLE, MO 635013712 (Tel: 6607857551)

📍
Updated Business Mailing Address January 14, 2025

Registered at 807 GREENWAY DR, KIRKSVILLE, MO 635012027 (Tel: 6603412686)

👤
Provider Name / Credentials Updated January 14, 2025

Recorded as JENNIFER STAM FOUNTAIN, BCBA, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2025

Behavior Analyst (License #2024007670 in MO)

🟢
Initial NPI Registration & Enumeration January 14, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942010673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2025
Last Update: January 14, 2025
Sole Proprietor: No

Mailing Address

807 Greenway Dr

Kirksville, MO 635012027

Phone: 6603412686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.