NPI 1003797200

Ellen Walbaum

Practitioner Behavior Technician Lafayette, IN

Practice location

Address: 3595 Sagamore Pkwy N STE 5, Lafayette, IN 47904-1095
Phone: (765) 637-8236
Fax: (765) 374-0443
Mailing address: 200 Hartman CT, West Lafayette, IN 47906-1626

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Indiana →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence RBT-25-471800 (IN)

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Registry record

NPI: 1003797200
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2025
Record last updated: 5 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.