IndividualActive
Jacklyn Stout
NPI 1124992177 · Behavior Technician · Kokomo, IN
Jacklyn Stout is a Behavior Technician provider in Kokomo, IN (NPI 1124992177).
Provider details
- NPI number
- 1124992177
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-25-464313 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 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
100% 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
1558 E Boulevard Ste a
Kokomo, IN 46902-2587
Phone: (765) 252-0530
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2025-10-02
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Jacklyn Stout's NPI number?
- Jacklyn Stout's National Provider Identifier (NPI) is 1124992177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklyn Stout's specialty?
- Jacklyn Stout is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jacklyn Stout located?
- Jacklyn Stout's practice location on file with NPPES is 1558 E Boulevard Ste a, Kokomo, IN 46902-2587.
- What is Jacklyn Stout's phone number?
- The practice phone number listed in the NPPES registry for Jacklyn Stout is (765) 252-0530.
- Is Jacklyn Stout's NPI active?
- Yes — Jacklyn Stout's NPI (1124992177) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.