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Organization
ELEVATE ABA CENTER
Active
Organization
ELEVATE ABA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MITCHELL POTTER BCBA LBA LBS (CREDENTIALING SPECIALIST)
(201) 978-3815
Entity
Organization
Contact information
Practice address
8231 GREENBUSH AVE, PANORAMA CITY, CA 91402-5514
(818) 800-4331
(213) 693-1162
Mailing address
7865 GOODLAND AVE, NORTH HOLLYWOOD, CA 91605-2043
(623) 777-7770
(213) 693-1162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/30/2026
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