| Elevate Aba Llc | |
|
37842 Westvale St Romulus MI 48174-4723 | |
| (734) 644-0125 | |
| Not Available |
| Full Name | Elevate Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 37842 Westvale St, Romulus, Michigan |
| Authorized Official Name and Position | Amanda Rae Dybicki (OWNER) |
| Authorized Official Contact | 7346440125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Aba Llc 37842 Westvale St Romulus MI 48174-4723 Ph: (734) 644-0125 | Elevate Aba Llc 37842 Westvale St Romulus MI 48174-4723 Ph: (734) 644-0125 |
| NPI Number | 1144063793 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144063793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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