IndividualActive
Stacy Maxwell
NPI 1134990690 · Behavior Technician · Fort Wayne, IN
Stacy Maxwell is a Behavior Technician provider in Fort Wayne, IN (NPI 1134990690).
Provider details
- NPI number
- 1134990690
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-24-320783 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
4422 E State Blvd
Fort Wayne, IN 46815-6917
Phone: (260) 471-9263
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2024-01-12
- Last updated
- 2024-01-12
- Certified
- 2024-01-12
Frequently asked questions
- What is Stacy Maxwell's NPI number?
- Stacy Maxwell's National Provider Identifier (NPI) is 1134990690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Maxwell's specialty?
- Stacy Maxwell is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Stacy Maxwell located?
- Stacy Maxwell's practice location on file with NPPES is 4422 E State Blvd, Fort Wayne, IN 46815-6917.
- What is Stacy Maxwell's phone number?
- The practice phone number listed in the NPPES registry for Stacy Maxwell is (260) 471-9263.
- Is Stacy Maxwell's NPI active?
- Yes — Stacy Maxwell's NPI (1134990690) is active in the NPPES registry as of the last update on 2024-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.