| Rise Autism Llc | |
|
2551 W Maple Grove Rd Bloomington IN 47404-9249 | |
| (812) 929-2271 | |
| Not Available |
| Full Name | Rise Autism Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2551 W Maple Grove Rd, Bloomington, Indiana |
| Authorized Official Name and Position | Kirk Graber (OWNER) |
| Authorized Official Contact | 8129292271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Autism Llc 2551 W Maple Grove Rd Bloomington IN 47404-9249 Ph: (812) 929-2271 | Rise Autism Llc 2551 W Maple Grove Rd Bloomington IN 47404-9249 Ph: (812) 929-2271 |
| NPI Number | 1053907808 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053907808 | NPI | - | NPPES |
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