IndividualActive
Jackie Lively
NPI 1548073422 · Behavior Technician · Newburgh, IN
Jackie Lively is a Behavior Technician provider in Newburgh, IN (NPI 1548073422).
Provider details
- NPI number
- 1548073422
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-23-298955 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3777 Haley Dr
Newburgh, IN 47630-2608
Phone: (317) 249-2242
Fax: (844) 289-6798
Street-level locationGet directions
Mailing address
550 Congressional Blvd.
Carmel, IN 46032-5400
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Jackie Lively's NPI number?
- Jackie Lively's National Provider Identifier (NPI) is 1548073422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Lively's specialty?
- Jackie Lively is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jackie Lively located?
- Jackie Lively's practice location on file with NPPES is 3777 Haley Dr, Newburgh, IN 47630-2608.
- What is Jackie Lively's phone number?
- The practice phone number listed in the NPPES registry for Jackie Lively is (317) 249-2242.
- Is Jackie Lively's NPI active?
- Yes — Jackie Lively's NPI (1548073422) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.