IndividualActive
Jacob Stillson
NPI 1477034841 · Behavior Analyst · Grand Rapids, MI
Provider details
- NPI number
- 1477034841
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7401001568 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
600 3 Mile Rd Nw
Suite 200
Grand Rapids, MI 49544-1691
Phone: (616) 469-3870
Street-level locationGet directions
Mailing address
2738 Ardmore St Se
Grand Rapids, MI 49506-4919
Registry dates
- Enumerated
- 2018-08-23
- Last updated
- 2026-04-03
- Certified
- 2026-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.