Healthcare Provider Details

I. General information

NPI: 1235075946
Provider Name (Legal Business Name): ELEVATED BEHAVIORAL HEALTH & ABA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COVEY PL
MONROEVILLE NJ
08343-2518
US

IV. Provider business mailing address

5 COVEY PL
MONROEVILLE NJ
08343-2518
US

V. Phone/Fax

Practice location:
  • Phone: 609-579-2651
  • Fax:
Mailing address:
  • Phone:
  • 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: MADELINE DICERBO
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 609-579-2651