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Donald Jellison, BCBA
NPI 1508273160 · Behavior Analyst · South Bend, IN
Donald Jellison, BCBA is a Behavior Analyst provider in South Bend, IN (NPI 1508273160).
Provider details
- NPI number
- 1508273160
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1-16-22080 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17551 Generations Dr
South Bend, IN 46635-1589
Phone: (574) 400-2169
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Additional practice locations (1)
- 1913 Miniature Rose LnMishawaka, IN 46544-5895Phone: (574) 993-9595
Registry dates
- Enumerated
- 2014-07-16
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Donald Jellison's NPI number?
- Donald Jellison's National Provider Identifier (NPI) is 1508273160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Jellison's specialty?
- Donald Jellison is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Donald Jellison located?
- Donald Jellison's practice location on file with NPPES is 17551 Generations Dr, South Bend, IN 46635-1589.
- What is Donald Jellison's phone number?
- The practice phone number listed in the NPPES registry for Donald Jellison is (574) 400-2169.
- Is Donald Jellison's NPI active?
- Yes — Donald Jellison's NPI (1508273160) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.