Healthcare Provider Details

I. General information

NPI: 1225881840
Provider Name (Legal Business Name): ELPIS ABA CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 SHEEP DAVIS RD STE D
CONCORD NH
03301-5750
US

IV. Provider business mailing address

261 SHEEP DAVIS RD STE D
CONCORD NH
03301-5750
US

V. Phone/Fax

Practice location:
  • Phone: 603-491-0839
  • Fax:
Mailing address:
  • Phone: 603-491-0839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER R SMITH
Title or Position: BUSINESS OWNER
Credential: BCBA
Phone: 603-491-0839