Elevated Potential ABA, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELEVATED POTENTIAL ABA, LLC

Practice address

20 S Charles St Ste 403
Baltimore, MD 21201-3282

Phone

(240) 667-8179

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tekedra Gregory

Title

Owner / Managing Member

Phone

(240) 667-8179

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1083519268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S CHARLES ST STE 403",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013282",
            "telephone_number": "240-667-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S CHARLES ST STE 403",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013282",
            "telephone_number": "240-667-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED POTENTIAL ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "TEKEDRA",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "240-667-8179",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.