Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elliot Lakes

Individual provider Behavior Technician · NPI 1972125649

Elliot Lakes is a Behavior Technician in Muncie, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020

Practice location Address checks out

4105 N Walnut St
Muncie, IN 47303-5904
Phone: (765) 587-5244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-19-76471 (IN)

Record details

NPI number1972125649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2020
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020

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