MR. DONALD MICHAEL JELLISON (NPI# 1508273160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508273160 |
| Entity Type | Individual |
| Full Name | MR. DONALD MICHAEL JELLISON |
| Credential | BCBA |
| Practice Address |
1913 Miniature Rose Ln Mishawaka IN 46544-5895 |
| Practice Telephone | 5749939595 |
| Mailing Telephone | 5749939595 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1913 MINIATURE ROSE LN |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-5895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457221 | Guiding Fluency LLC | Behavioral Analyst | 303 S Main St Ste 207, Mishawaka, IN 46544-2160 | 2020-08-13 |
| 1225544430 | Emily Burden | Behavioral Analyst | 1316 W Dragoon Trl, Mishawaka, IN 46544-4713 | 2017-12-26 |
| 1114443090 | Victoria Itani | Behavioral Analyst | 525 Park Place Cir, Mishawaka, IN 46545-3511 | 2017-08-22 |
| 1982059069 | Autism Services of Michiana LLC | Behavioral Analyst | 4201 Cottage Ave, Mishawaka, IN 46544-3848 | 2016-04-26 |
| 1437768454 | Elizabeth Carey | Behavioral Analyst | 3730 Edison Lakes Pkwy, Mishawaka, IN 46545-3424 | 2020-07-27 |
| 1972133593 | Courtney Claire Piekarski | Behavioral Analyst | 525 Park Place Cir, Mishawaka, IN 46545-3511 | 2020-01-23 |
| 1992342935 | Courtney Schultz | Behavioral Analyst | 3730 Edison Lakes Pkwy, Mishawaka, IN 46545-3424 | 2019-12-10 |
| 1699312595 | Maggie Szczypiorski | Behavioral Analyst | 525 Park Place Cir, Mishawaka, IN 46545-3511 | 2019-12-10 |
| 1427693795 | Megan Davis | Behavioral Analyst | 525 Park Place Cir, Mishawaka, IN 46545-3511 | 2019-11-11 |
| 1003477845 | Courtney Nicole Steele | Behavioral Analyst | 3730 Edison Lakes Pkwy, Mishawaka, IN 46545-3424 | 2019-06-24 |
| Find all providers in MISHAWAKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.