Dickson, Mary Ellen

Dickson, Mary Ellen is an individual health care provider with primary practice located at 1353 E Main St , Brownsburg IN 46112-1433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Dickson, Mary Ellen can be contacted via phone (317) 520-4748.

Contact Information

Primary practice address
1353 E Main St Brownsburg IN 46112-1433
Phone: (317) 520-4748
Fax: (888) 498-5529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-34375 Indiana
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-41073 Indiana

Profile Details

NPI number 1366948929
LBN Legal business name Dickson, Mary Ellen
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2018
Last updated Dec 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366948929 NPPES
Indiana MEDICAID 300050744

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