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1508273160
DONALD MICHAEL JELLISON
SOUTH BEND, IN
NPI
1508273160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-16-22080)
Enumeration Date
2014-07-16
Last Update Date
2024-06-12
Business Address
Mr. DONALD MICHAEL JELLISON BCBA
17551 GENERATIONS DR
SOUTH BEND, IN 46635-1589
Phone number: 574-400-2169
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Mailing Address
Mr. DONALD MICHAEL JELLISON BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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