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NPI Code Detail

MEDICARE: ELEVATED BEHAVIORAL THERAPY SERVICES, INC.

MEDICARE: ELEVATED BEHAVIORAL THERAPY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1225605439
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATED BEHAVIORAL THERAPY SERVICES, INC.
Provider Business Mailing Address
First Line : 21700 GOLDEN TRIANGLE RD STE 201
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2954
Country : US
Telephone Number : 800-820-7813
Fax Number : 661-554-3785
Provider Business Practice Location Address
First Line : 21700 GOLDEN TRIANGLE RD STE 201
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2954
Country : US
Telephone Number : 800-820-7813
Fax Number : 661-554-3785
Authorized Official
Title or Position : CFO & CO-FOUNDER
Name : SARKIS GHARIBIAN
Credential :
Telephone Number : 661-554-4465
Provider Enumeration Date : 06/07/2021
Last Update Date : 04/17/2025

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Directions to “ELEVATED BEHAVIORAL THERAPY SERVICES, INC. ” Practice Location

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