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1174092076
MOLLY DIANE ELLIS
BLOOMINGTON, IN
NPI
1174092076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-18-29564)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
MOLLY DIANE ELLIS BCBA
450 S LANDMARK AVE
BLOOMINGTON, IN 47403-5000
Phone number: 855-324-0885
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Mailing Address
MOLLY DIANE ELLIS BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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