Healthcare Provider Details

I. General information

NPI: 1043140726
Provider Name (Legal Business Name): ELEVATE ABA SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W FRUITVALE AVE APT 88
HEMET CA
92543-1819
US

IV. Provider business mailing address

225 W FRUITVALE AVE APT 88
HEMET CA
92543-1819
US

V. Phone/Fax

Practice location:
  • Phone: 951-212-2679
  • Fax:
Mailing address:
  • Phone: 951-212-2679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YOLANDA MENDOZA
Title or Position: ADMINISTRATOR
Credential:
Phone: 951-212-2679