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

Jack Pusatera

Individual provider Behavior Technician · NPI 1558211813

Jack Pusatera is a Behavior Technician in Lisle, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

2525 Cabot Dr Lisle Il
Lisle, IL 60532
Phone: (630) 465-3963
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (IL)

Record details

NPI number1558211813
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 28, 2026
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 26, 2026
Mailing address2525 Cabot Dr Lisle, Il, Lisle, IL 60532

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