Organization
ELLISTON PEDIATRICS LLC
Active
Other names
Elevation Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
A KAY (MANAGER)
(404) 474-0040
Entity
Organization
Contact information
Practice address
157 TECHNOLOGY PKWY STE 600, PEACHTREE CORNERS, GA 30092-3489
(404) 474-0040
(404) 704-0895
Mailing address
11560 GREAT OAKS WAY STE 300, ALPHARETTA, GA 30022-2453
(404) 474-0040
(404) 704-0895
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
07/15/2026
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