Jillian Carlson, RBT
Individual provider Active NPI Behavior Analyst · Kendallville, IN
NPI 1053073601 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1053073601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 0-25-15862 (IN)
- Practice address
- 2767 E US Highway 6
Kendallville, IN 46755-9341 - Phone
- (260) 336-3350
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, LLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-25-15862 | IN | Yes |
Addresses
Primary practice location
2767 E US Highway 6
Kendallville, IN 46755-9341
Mailing address
2767 E US Highway 6
Kendallville, IN 46755-9341
Phone (260) 336-3350
Other providers in Kendallville, IN
- David K Bunde
- Megan Burrage
- Diane M Byers
- Samantha Callaway
- Lauren Kay Carlisle
- Braion Chapman
- Sandra Sue Charles
- Chiro-Care Inc.
- Barbara Ann Chivers
- Chronister Kendallville Drug
All providers in Kendallville, IN · Behavior Analyst in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.