| Elevare Aba LLC | |
|
3638 205th St Bayside NY 11361-1236 | |
| (929) 451-9807 | |
| Not Available |
| Full Name | Elevare Aba LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3638 205th St, Bayside, New York |
| Authorized Official Name and Position | Ting Wei Liao (PRESIDENT) |
| Authorized Official Contact | 9294519807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevare Aba LLC 3638 205th St Bayside NY 11361-1236 Ph: (929) 451-9807 | Elevare Aba LLC 3638 205th St Bayside NY 11361-1236 Ph: (929) 451-9807 |
| NPI Number | 1184460479 |
|---|---|
| Provider Enumeration Date | 07/05/2024 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184460479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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