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MR. DONALD MICHAEL JELLISON BCBA
NPI 1508273160
Behavior Analyst in South Bend, IN

Active since July 16, 2014
17551 GENERATIONS DR, SOUTH BEND, IN 46635(574) 400-2169(317) 520-8200 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Donald Michael Jellison Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONALD MICHAEL JELLISON BCBA (NPI 1508273160) is an individual behavior analyst provider in South Bend, Indiana, licensed in Indiana (1-16-22080) and active in the NPI registry since July 2014. He maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1508273160
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. DONALD MICHAEL JELLISONCredential: BCBA
Location Address17551 GENERATIONS DRSouth Bend, IN 46635-1589
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Phone(574) 400-2169
Fax(317) 520-8200
Sole ProprietorYes
Enumeration DateJuly 16, 2014
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1508273160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in IN · 1-16-22080
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
17551 GENERATIONS DR, South Bend, IN 46635
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Secondary Practice Location 1

Location 11913 Miniature Rose LnMishawaka, IN 46544-5895 · Phone (574) 993-9595

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMESHA MABREY
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
ELAN WILLIAMS RBT
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
SARAH BRISTOL RBT
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
KENNDALL BETHEL
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
JEREMIAH STILLWAGON
Behavior Technician
17551 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
HOLLY E BYERS
Behavior Analyst
17551 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
LISA LOVELL
Behavior Analyst
17551 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169
AUBREY BROGDON SLP
Speech-Language Pathologist
17551 GENERATIONS DR
SOUTH BEND, IN 46635
St. Joseph County (574) 400-2169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Jellison's NPI number?

The NPI number for Donald Jellison is 1508273160. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Donald Jellison located?

Donald Jellison practices at 17551 Generations Dr, South Bend, IN 46635. The listed phone number is (574) 400-2169.

What is Donald Jellison's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Donald Jellison accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Donald Jellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Jellison was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.