Provider Demographics
NPI:1225784689
Name:ELEVATE ABA THERAPY INC
Entity Type:Organization
Organization Name:ELEVATE ABA THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-226-2600
Mailing Address - Street 1:101 MIDDLESEX TPKE, STE 6.
Mailing Address - Street 2:#254
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-4914
Mailing Address - Country:US
Mailing Address - Phone:781-226-2600
Mailing Address - Fax:781-226-2606
Practice Address - Street 1:26 BEACON STREET
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803
Practice Address - Country:US
Practice Address - Phone:781-226-2600
Practice Address - Fax:781-226-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty