Organization
ELEVATE OTHERS LLC
Active
Other names
Elevate Behavioral Care
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE CATHERINE RANDOLPH (OWNER)
(719) 648-5683
Entity
Organization
Contact information
Practice address
1150 BELL TOWER HTS APT 205, COLORADO SPRINGS, CO 80916-1946
(719) 648-5683
Mailing address
1150 BELL TOWER HTS APT 205, COLORADO SPRINGS, CO 80916-1946
(719) 648-5683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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