Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DONALD MICHAEL JELLISON, BCBA
Active Sole ProprietorMR. DONALD MICHAEL JELLISON, BCBA is a Behavior Analyst healthcare provider located in SOUTH BEND, Indiana. NPI 1508273160 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · SOUTH BEND, IN
Registration Details
- NPI Number
- 1508273160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2014 (12.037845142052 yrs)
- Last Updated
- Jun 12, 2024
- License
-
1-16-22080 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17551 GENERATIONS DRSOUTH BEND, IN, 466351589Browse IN providers · Browse ZIP 46635
- Phone
- 5744002169
- Fax
- 3175208200
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| SORAH STEIN | M.A., BCBA, CSE | 1780860312 |
| MRS. NICOLE JOY DEWITT | M.A., BCBA | 1063666006 |
| DANIEL LEE SHAFTO | MA BCBA | 1871861526 |
| MRS. CYNTHIA ANN PINKOWSKI | M.S. | 1568705234 |
| STEPHANIE ANN PROUDFOOT | BCBA | 1659707032 |
| IAN MELTON | BCBA | 1376947713 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.