Ellen Walbaum

NPI #1003797200 in Lafayette, Indiana

Provider Information

NPI Number: 1003797200
Entity Type: Individual
Name: Ellen Walbaum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 12, 2025
Last Updated: Nov 5, 2025

Practice Location

Address: 3595 SAGAMORE PKWY N STE 5
City: Lafayette
State: Indiana
ZIP Code: 47904-1095
Phone: (765) 637-8236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Behavior Analyst	103K00000X

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