Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOLLY DIANE ELLIS, BCBA
ActiveMOLLY DIANE ELLIS, BCBA is a Behavior Analyst healthcare provider located in BLOOMINGTON, Indiana. NPI 1174092076 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1174092076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2018 (7.7140666035187 yrs)
- Last Updated
- Nov 20, 2018
- License
-
1-18-29564 (IN)
Practice Information
- Address
-
450 S LANDMARK AVEBLOOMINGTON, IN, 474035000Browse IN providers · Browse ZIP 47403
- Phone
- 8553240885
- Fax
- 3175208200
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| MR. ARTHUR FREDERICK KRUGGEL | M.S. | 1952484057 |
| JASON LINVILLE | MA | 1467680843 |
| VICKI SOOY | BCBA | 1518263631 |
| JAMIE S GOECKER | M.A., BCBA, LBA | 1033417092 |
| ROBERTO ANDRADE-PLAZA | BCBA, IBA | 1124424973 |
| SARA ELISE CRAWFORD | — | 1639576416 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.