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

Ellie Grace Southworth

Individual provider Behavior Technician · NPI 1700771615

Ellie Grace Southworth is a Behavior Technician in Crown Point, Indiana. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

205 W Franciscan Dr
Crown Point, IN 46307-4802
Phone: (888) 419-2576
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1700771615
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 10, 2025

Other providers in Crown Point