Individual provider Active NPI

Amberly Brook Caballero, MSED, BCBA, BSL, IEC

  • Behavior Analyst
  • Philadelphia, PA
National Provider Identifier
1891073433
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1241 N Front St
Philadelphia, PA 19122-4743
Phone
(267) 978-4305
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X PA Primary

Addresses

Primary practice location

1241 N Front St
Philadelphia, PA 19122-4743

Mailing address

100 Crest CT
Weddington, NC 28104-5626
Phone (267) 978-4305

Other practice location 1

309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234
Phone (267) 807-0550

Other practice location 2

6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252
Phone (704) 912-1551

Other practice location 3

110 Church St
Philadelphia, PA 19106-2201
Phone (267) 807-0550

Other names 1

  • Elevated Kids Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Kids Behavior Analyst CurrentSince Jun 8, 2025 Accepting new patients

Locations

309 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054
Phone (267) 408-6770

1010 N Hancock St
Philadelphia, PA 19123
Phone (267) 538-4390

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1891073433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CREST CT",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281045626",
            "telephone_number": "267-978-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224743",
            "telephone_number": "267-978-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Fellowship Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541234",
            "country_code": "US",
            "telephone_number": "267-807-0550",
            "fax_number": "704-389-3193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Fairview Rd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282102252",
            "country_code": "US",
            "telephone_number": "704-912-1551",
            "fax_number": "704-389-3193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Church St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191062201",
            "country_code": "US",
            "telephone_number": "267-807-0550",
            "fax_number": "704-389-3193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "AMBERLY",
        "middle_name": "BROOK",
        "name_prefix": "Mrs.",
        "credential": "MSED, BCBA, BSL, IEC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEVATED",
            "last_name": "KIDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.