Elizabeth Singe Elliott, BCBA

Individual provider Active NPI Behavior Analyst · Middlebury, VT

NPI 1306206206 · NPPES record last updated Mar 4, 2016

Key facts

NPI
1306206206
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
11417751 (VT)
Practice address
67 Catamount Park
Middlebury, VT 05753-1397
Phone
(802) 388-8188
Fax
(802) 388-8183
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11417751VTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Service of Addison County Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11417751 VT Yes

Addresses

Primary practice location

67 Catamount Park
Middlebury, VT 05753-1397

Mailing address

89 Main St
Middlebury, VT 05753-1459
Phone (802) 388-6751

Other providers in Middlebury, VT

All providers in Middlebury, VT · Behavior Analyst in Vermont

Sources for this page

Verify at the official NPI Registry.