IndividualActive
Kimberly St John
NPI 1104793579 · Behavior Technician · Indianapolis, IN
Kimberly St John is a Behavior Technician provider in Indianapolis, IN (NPI 1104793579).
Provider details
- NPI number
- 1104793579
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2620 Kessler Boulevard East Dr Ste 105
Indianapolis, IN 46220-2889
Phone: (855) 324-0885
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2025-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Kimberly St John's NPI number?
- Kimberly St John's National Provider Identifier (NPI) is 1104793579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly St John's specialty?
- Kimberly St John is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kimberly St John located?
- Kimberly St John's practice location on file with NPPES is 2620 Kessler Boulevard East Dr Ste 105, Indianapolis, IN 46220-2889.
- What is Kimberly St John's phone number?
- The practice phone number listed in the NPPES registry for Kimberly St John is (855) 324-0885.
- Is Kimberly St John's NPI active?
- Yes — Kimberly St John's NPI (1104793579) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.