Individual provider · Type 1 NPI

Elizabeth Mellon, BCBA

Behavior Analyst · Rockford, IL

NPI number 1104731769 Active

Practice location

4450 N Rockton Ave
Rockford, IL 61103-1526

Call (815) 985-9591 Map

Mailing address

173 Autumnwood Ln
Davis Junction, IL 61020-9426

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1262841007 (IL)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1104731769

Elizabeth Mellon, BCBA's National Provider Identifier is 1104731769, issued on Aug 18, 2026. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Rockford, IL. The record was last updated on Aug 19, 2026.