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

Jeremiah Stillwagon

Individual provider Behavior Technician · NPI 1083545461

Jeremiah Stillwagon is a Behavior Technician in South Bend, Indiana. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

17551 Generations Dr
South Bend, IN 46635-1589
Phone: (574) 400-2169
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1083545461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address3500 Depauw Blvd, Indianapolis, IN 46268-1170

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