Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Nystrom

Individual provider Behavior Analyst · NPI 1124797378

Jaclyn Nystrom is a Behavior Analyst in Fishers, Indiana. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11807 Allisonville Rd # 522
Fishers, IN 46038-2313
Phone: (317) 572-5315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 95001491A (IN)
Behavior Analyst Taxonomy 103K00000X · Licence 1-24-71865 (IN)

Record details

NPI number1124797378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address14512 Brecon Ln, Carmel, IN 46074-6042

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