| Elevation Pediatric Therapy, Llc | |
|
1201 N Martin Luther King Jr Dr Winston Salem NC 27101-3005 | |
| (336) 579-3560 | |
| (336) 579-3561 |
| Full Name | Elevation Pediatric Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1201 N Martin Luther King Jr Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Andrew Dinkins (CEO) |
| Authorized Official Contact | 3365793560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Pediatric Therapy, Llc 1201 N Martin Luther King Jr Dr Winston Salem NC 27101-3005 Ph: (336) 579-3560 | Elevation Pediatric Therapy, Llc 1201 N Martin Luther King Jr Dr Winston Salem NC 27101-3005 Ph: (336) 579-3560 |
| NPI Number | 1053182006 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053182006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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