JACKIE BURLESON

Behavior Technician

Active Individual
NPI: 1558162123

Practice Address

17551 GENERATIONS DR
South Bend, IN 46635

Phone: (574) 400-2169

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1558162123 is the National Provider Identifier for JACKIE BURLESON, a Behavior Technician provider located in South Bend, IN. This NPI was enumerated on March 20, 2025.
JACKIE BURLESON practices at 17551 GENERATIONS DR, South Bend, IN 46635.

Quick Facts

NPI
1558162123
Type
Individual
Enumerated
Mar 20, 2025
Last Updated
Mar 20, 2025

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