Individual
STARLA RENEE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 856-5201
Mailing address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-78770
IN
Other
Enumeration date
10/29/2024
Last updated
01/14/2025
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