| Elevate Llc | |
|
3111 Broad St Bellingham WA 98225-8342 | |
| (206) 552-6724 | |
| (206) 456-1889 |
| Full Name | Elevate Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3111 Broad St, Bellingham, Washington |
| Authorized Official Name and Position | Neill Dorn (MANAGING MEMBER) |
| Authorized Official Contact | 2065526724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Llc 3111 Broad St Bellingham WA 98225-8342 Ph: (206) 552-6724 | Elevate Llc 3111 Broad St Bellingham WA 98225-8342 Ph: (206) 552-6724 |
| NPI Number | 1437719523 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 06/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437719523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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