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

Jeremy Royal Stults

Individual provider Behavior Technician · NPI 1235017294

Jeremy Royal Stults is a Behavior Technician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

5750 Falls Dr
Fort Wayne, IN 46804-7147
Phone: (260) 204-5719
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-334726 (IN)

Record details

NPI number1235017294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

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