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Kellie Stephens-Jackson
NPI 1164011011 · Behavior Technician · Lakewood, WA
Kellie Stephens-Jackson is a Behavior Technician provider in Lakewood, WA (NPI 1164011011).
Provider details
- NPI number
- 1164011011
- 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
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES 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
10015 Lakewood Dr Sw
Lakewood, WA 98499-3838
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Frequently asked questions
- What is Kellie Stephens-Jackson's NPI number?
- Kellie Stephens-Jackson's National Provider Identifier (NPI) is 1164011011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Stephens-Jackson's specialty?
- Kellie Stephens-Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kellie Stephens-Jackson located?
- Kellie Stephens-Jackson's practice location on file with NPPES is 10015 Lakewood Dr Sw, Lakewood, WA 98499-3838.
- What is Kellie Stephens-Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kellie Stephens-Jackson is (855) 223-7123.
- Is Kellie Stephens-Jackson's NPI active?
- Yes — Kellie Stephens-Jackson's NPI (1164011011) is active in the NPPES registry as of the last update on 2021-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.