Provider Demographics
NPI:1154959617
Name:ABA ELEVATED, LLC
Entity type:Organization
Organization Name:ABA ELEVATED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-796-9903
Mailing Address - Street 1:16518 ELK VALLEY TRL
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-7116
Mailing Address - Country:US
Mailing Address - Phone:214-796-9903
Mailing Address - Fax:
Practice Address - Street 1:16518 ELK VALLEY TRL
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-7116
Practice Address - Country:US
Practice Address - Phone:214-796-9903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57612544Medicaid