Organization
ELEVATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEILL DORN (MANAGING MEMBER)
(206) 552-6724
Entity
Organization
Contact information
Practice address
3111 BROAD ST, BELLINGHAM, WA 98225-8342
(206) 552-6724
(206) 456-1889
Mailing address
3111 BROAD ST, BELLINGHAM, WA 98225-8342
(206) 552-6724
(206) 456-1889
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/21/2019
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