Search › Indiana › Behavior Technician
Jackie Lively
NPI 1548073422 · on the registry since 2025
Practice
- Address
- 3777 Haley Dr
Newburgh, IN 47630 - Phone
- (317) 249-2242
- Fax
- (844) 289-6798
- Clinicians at this address
- 111
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana