Organization
ELEVATED KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBERLY BROOK CABALLERO (CEO)
(267) 807-0550
Entity
Organization
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(267) 807-0550
(704) 389-3193
Mailing address
100 CREST CT, WEDDINGTON, NC 28104-5626
(267) 807-0550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/10/2020
Last updated
06/06/2025
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