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General NPI Number Information
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NPI Number | 1952967630
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Entity Type | Individual
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Provider Name | ASHLI NICHOLE ELSEY MA, BCBA
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Gender | Female
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1389 W 86TH ST # 170
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2101
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Country | US
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Telephone | 317-409-6151
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Fax |
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Provider Business Mailing Address
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Address Line | 2047 N COUNTY ROAD 600 E
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City | AVON
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State | IN
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Zip | 46123-9533
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Country | US
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Telephone | 765-242-4196
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-34747
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License Number State | IN
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