IndividualActive
Jackie Burleson
NPI 1558162123 · Behavior Technician · South Bend, IN
Jackie Burleson is a Behavior Technician provider in South Bend, IN (NPI 1558162123).
Provider details
- NPI number
- 1558162123
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 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
83% 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
17551 Generations Dr
South Bend, IN 46635-1589
Phone: (574) 400-2169
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2025-03-20
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Frequently asked questions
- What is Jackie Burleson's NPI number?
- Jackie Burleson's National Provider Identifier (NPI) is 1558162123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Burleson's specialty?
- Jackie Burleson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jackie Burleson located?
- Jackie Burleson's practice location on file with NPPES is 17551 Generations Dr, South Bend, IN 46635-1589.
- What is Jackie Burleson's phone number?
- The practice phone number listed in the NPPES registry for Jackie Burleson is (574) 400-2169.
- Is Jackie Burleson's NPI active?
- Yes — Jackie Burleson's NPI (1558162123) is active in the NPPES registry as of the last update on 2025-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.