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

Individual provider Behavior Analyst · NPI 1508273160

Mr. Donald Michael Jellison, BCBA is a Behavior Analyst in South Bend, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2014
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

17551 Generations Dr
South Bend, IN 46635-1589
Phone: (574) 400-2169
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-16-22080 (IN)

Record details

NPI number1508273160
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorYes
NPI enumeratedJuly 16, 2014
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

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