What is Elliot Lakes's NPI number?

Elliot Lakes's National Provider Identifier (NPI) is 1972125649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Elliot Lakes's specialty?

Elliot Lakes is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Elliot Lakes located?

Elliot Lakes's practice location on file with NPPES is 4105 N Walnut St, Muncie, IN 47303-5904.

What is Elliot Lakes's phone number?

The practice phone number listed in the NPPES registry for Elliot Lakes is (765) 587-5244.

Is Elliot Lakes's NPI active?

Yes — Elliot Lakes's NPI (1972125649) is active in the NPPES registry as of the last update on 2020-05-15.

IndividualActive

Elliot Lakes

NPI 1972125649 · Behavior Technician · Muncie, IN

Elliot Lakes is a Behavior Technician provider in Muncie, IN (NPI 1972125649).

Provider details

NPI number: 1972125649
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No
License: RBT-19-76471 (IN)

Specialties & taxonomies

Behavior TechnicianPrimary106S00000XLicense RBT-19-76471 (IN)
Behavioral Health & Social Service Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4105 N Walnut St

Muncie, IN 47303-5904

Phone: (765) 587-5244

Street-level locationGet directions

Mailing address