MOLLY DIANE ELLIS

BLOOMINGTON, IN
NPI1174092076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IN  1-18-29564)
Enumeration Date2018-11-20
Last Update Date2018-11-20
Business Address
MOLLY DIANE ELLIS BCBA
450 S LANDMARK AVE
BLOOMINGTON, IN 47403-5000
Phone number: 855-324-0885
Mailing Address
MOLLY DIANE ELLIS BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885