Elliott, Haley Ann
Elliott, Haley Ann is an individual health care provider with primary practice located at 719 Spencer St , Logansport IN 46947-3583. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Elliott, Haley Ann can be contacted via phone (765) 210-1284.Contact Information
Primary practice address
719 Spencer St
Logansport IN 46947-3583
Phone: (765) 210-1284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Indiana |
Profile Details
| NPI number | 1750025102 |
|---|---|
| LBN Legal business name | Elliott, Haley Ann |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2022 |
| Last updated | Apr 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750025102 | NPPES |
| Indiana | Other | BACB447536 | BEHAVIOR ANALYST CERTIFICATION BOARD |
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