Individual
ELLEN MARIE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3482 MCCLURE AVE, WEST LAFAYETTE, IN 47906-4164
(765) 838-3547
Mailing address
3482 MCCLURE AVE, WEST LAFAYETTE, IN 47906-4164
(765) 838-3547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
11/17/2022
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