Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Avery

Individual provider Behavior Technician · NPI 1144037995

Ellen Avery is a Behavior Technician in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

2505 E Jefferson Blvd
South Bend, IN 46615-2635
Phone: (574) 289-4831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (IN)

Record details

NPI number1144037995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address2505 E Jefferson Blvd, South Bend, IN 46615-2635

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