Organization
ELEVATED THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ALFANO (PRESIDENT)
(708) 691-1589
Entity
Organization
Contact information
Practice address
650 N CONVENT ST, BOURBONNAIS, IL 60914-1332
(708) 691-1589
Mailing address
650 N CONVENT ST, BOURBONNAIS, IL 60914-1332
(708) 691-1589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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