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General NPI Number Information
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NPI Number | 1235075946
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Entity Type | Organization
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Legal Business Name | ELEVATED BEHAVIORAL HEALTH & ABA SERVICES
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 5 COVEY PL
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City | MONROEVILLE
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State | NJ
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Zip | 08343-2518
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Country | US
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Telephone | 609-579-2651
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Fax |
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Provider Business Mailing Address
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Address Line | 5 COVEY PL
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City | MONROEVILLE
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State | NJ
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Zip | 08343-2518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADELINE DICERBO
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Credential | BCBA, LBA
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Telephone | 609-579-2651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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