Jellison, Donald Michael
Jellison, Donald Michael is an sole proprietor health care provider with primary practice located at 17551 Generations Dr , South Bend IN 46635-1589. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Jellison, Donald Michael can be contacted via phone (574) 400-2169.Contact Information
Primary practice address
17551 Generations Dr
South Bend IN 46635-1589
Phone: (574) 400-2169
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 95001011A | Indiana |
Profile Details
| NPI number | 1508273160 |
|---|---|
| LBN Legal business name | Jellison, Donald Michael |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2014 |
| Last updated | Aug 21st, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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