Provider Demographics
NPI:1326818642
Name:ELEVATE LEARNING
Entity Type:Organization
Organization Name:ELEVATE LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:216-200-6530
Mailing Address - Street 1:29600 FAIRMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4577
Mailing Address - Country:US
Mailing Address - Phone:216-200-6530
Mailing Address - Fax:
Practice Address - Street 1:29600 FAIRMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124-4577
Practice Address - Country:US
Practice Address - Phone:216-780-3945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty