Individual
CARLEE GRACE FELLABAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W BETHEL AVE, MUNCIE, IN 47304-5408
(765) 282-8222
Mailing address
3601 W BETHEL AVE, MUNCIE, IN 47304-5408
(765) 282-8222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
IN
01
—
568946544
BCBS
—
01
—
5874
HEALTHPARTNERS
—
Enumeration date
09/09/2025
Last updated
09/09/2025
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