Individual
ELLEN MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
(812) 610-1814
Mailing address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
(812) 610-1814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40795
IN
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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