| Elevated Kids Ny Llc | |
|
28 November Walk Long Beach NY 11561-2935 | |
| (516) 216-9992 | |
| (704) 389-3193 |
| Full Name | Elevated Kids Ny Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 28 November Walk, Long Beach, New York |
| Authorized Official Name and Position | Amberly Caballero (CEO) |
| Authorized Official Contact | 2679784305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Kids Ny Llc 1439 Longleaf Ct Matthews NC 28104-7890 Ph: (267) 978-4305 | Elevated Kids Ny Llc 28 November Walk Long Beach NY 11561-2935 Ph: (516) 216-9992 |
| NPI Number | 1750130548 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750130548 | NPI | - | NPPES |
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