Jacob Stillson

NPI 1477034841 · on the registry since 2018 · sole proprietor

Practice

Address: 600 3 Mile Rd Nw
Suite 200
Grand Rapids, MI 49544
Phone: (616) 469-3870
Organisation at this address: Vicki Poleni Lmsw
Sarah Lickiss Lmsw Plc
Stacey Vanderklok, Llc
Building Blocks Therapy Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 119

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan