Individual provider · Type 1 NPI

Donald Michael Jellison, BCBA

Behavior Analyst · South Bend, IN

NPI number 1508273160 Active

Practice location

17551 Generations Dr
South Bend, IN 46635-1589

Call (574) 400-2169 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Other practice locations

  • 1913 Miniature Rose Ln, Mishawaka, IN 46544-5895 · (574) 993-9595

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X95001011A (IN)

Behavior Analyst: 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…

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About NPI 1508273160

Donald Michael Jellison, BCBA's National Provider Identifier is 1508273160, issued on Jul 16, 2014. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in South Bend, IN. The record was last updated on Aug 21, 2026.