Individual provider · Type 1 NPI

Ellen Walbaum

Behavior Technician · Lafayette, IN

NPI number 1003797200 Active

Practice location

3595 Sagamore Pkwy N Ste 5
Lafayette, IN 47904-1095

Call (765) 637-8236 Map

Fax (765) 374-0443

Mailing address

200 Hartman Ct
West Lafayette, IN 47906-1626

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed
Behavior Analyst 103K00000XRBT-25-471800 (IN)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1003797200

Ellen Walbaum's National Provider Identifier is 1003797200, issued on Sep 12, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Lafayette, IN. The record was last updated on Nov 5, 2025.