Healthcare Provider Details

I. General information

NPI: 1558285650
Provider Name (Legal Business Name): LEVEL UP ABA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5935 RIVERS AVE
NORTH CHARLESTON SC
29406-6071
US

IV. Provider business mailing address

1317 E 8TH ST
BROOKLYN NY
11230-5701
US

V. Phone/Fax

Practice location:
  • Phone: 845-596-2271
  • Fax:
Mailing address:
  • Phone: 845-596-2271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YOCHEVED WASSERMAN
Title or Position: DIRECTOR
Credential: BCBA-D
Phone: 845-596-2271