| Elevate Aba Llc | |
|
211 E Main St Lakeland FL 33801 | |
| (863) 216-8567 | |
| Not Available |
| Full Name | Elevate Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 211 E Main St, Lakeland, Florida |
| Authorized Official Name and Position | Paula Degarmo Sesin (OWNER) |
| Authorized Official Contact | 8632168567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Aba Llc 4798 S Florida Ave # 223 Lakeland FL 33813-2181 Ph: (863) 216-8567 | Elevate Aba Llc 211 E Main St Lakeland FL 33801 Ph: (863) 216-8567 |
| NPI Number | 1306677893 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306677893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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