Active NPI
Elite ABA Therapy NC LLC
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1851258495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ELITE ABA THERAPY NC LLC
- Practice address
- 227 W 4TH St FL 1
Charlotte, NC 28202-1545 - Phone
- (929) 355-5972
- NPI assigned
- Jan 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Menachem Pollak
- Title
- Owner
- Phone
- (929) 355-5972
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
227 W 4TH St FL 1
Charlotte, NC 28202-1545
Mailing address
5 Springbrook Dr
Jackson, NJ 08527-4368
Phone (929) 355-5972
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1851258495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SPRINGBROOK DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274368",
"telephone_number": "929-355-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 W 4TH ST FL 1",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282021545",
"telephone_number": "929-355-5972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE ABA THERAPY NC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-06",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "POLLAK",
"authorized_official_first_name": "MENACHEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "929-355-5972"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.