Wade, Laura Ellen

Wade, Laura Ellen is an individual health care provider with primary practice located at 251 W 84Th Dr , Merrillville IN 46410-6243. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wade, Laura Ellen can be contacted via phone (219) 205-3463.

Contact Information

Primary practice address
251 W 84Th Dr Merrillville IN 46410-6243
Phone: (219) 205-3463
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-13433 Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-13433

Profile Details

NPI number 1144649930
LBN Legal business name Wade, Laura Ellen
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2014
Last updated Jan 9th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144649930 NPPES
Other 1-13-13433 BCBA CERTIFICATE

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