OrganizationElite Behavioral TherapySocial WorkerBehavioral Health & Social Service ProvidersPractice Address11140 Rockville Pike Ste 480-I, North Bethesda, MD 20852-3106(619) 869-0771PECOS EnrollmentBased on the most recent information from CMS, provider Elite Behavioral Therapy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1992401376Provider TypeOrganizationFull NameElite Behavioral TherapySubpartNoEnumeration Date2/6/2023Last Updated9/9/2024Contact InformationPractice LocationPractice Address11140 Rockville Pike Ste 480-I, North Bethesda, MD 20852-3106Phone(619) 869-0771FaxUnlisted FaxMailing LocationMailing Address11140 Rockville Pike Ste 480-I, North Bethesda, MD 20852-3106Phone(619) 869-0771FaxUnlisted FaxAuthorized OfficialNameInnis-Thompson, Mirta (Owner)Phone(619) 869-0771Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer