Elliot Lakes
Elliot Lakes is a Behavior Technician in Muncie, Indiana. Licensed in Indiana. Registered with an NPI since 2020.
- Licensed in
- IN
- In the registry since
- 2020
Practice location Address checks out
4105 N Walnut StMuncie, IN 47303-5904
Phone: (765) 587-5244
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-19-76471 (IN) |
|---|
Record details
| NPI number | 1972125649 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 15, 2020 |
| Last updated in NPPES | May 15, 2020 |
| Certification date | May 15, 2020 |
| Mailing address | 4105 N Walnut St, Muncie, IN 47303-5904 |
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Diana Kutis, RBT
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