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

Ellen Walbaum

Individual provider Behavior Technician · NPI 1003797200

Ellen Walbaum is a Behavior Technician in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3595 Sagamore Pkwy N Ste 5
Lafayette, IN 47904-1095
Phone: (765) 637-8236
Fax: (765) 374-0443
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (IN)
Behavior Analyst Taxonomy 103K00000X · Licence RBT-25-471800 (IN)

Record details

NPI number1003797200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address200 Hartman Ct, West Lafayette, IN 47906-1626

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