Organization Active NPI

Elevaba

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1740880020
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ELEVABA
Practice address
1431 Pacific Hwy Unit 714
San Diego, CA 92101-8328
Phone
(858) 354-9677
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Sheenah GillNPI 1861942815
Title
Ceo
Phone
(858) 354-9677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1431 Pacific Hwy Unit 714
San Diego, CA 92101-8328

Mailing address

1431 Pacific Hwy Unit 714
San Diego, CA 92101-8328
Phone (858) 354-9677

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1740880020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PACIFIC HWY UNIT 714",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018328",
            "telephone_number": "858-354-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PACIFIC HWY UNIT 714",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018328",
            "telephone_number": "858-354-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "SHEENAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-354-9677"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.