Rise Supports Llc | |
1795 Bay St Taunton MA 02780-1006 | |
(203) 525-5064 | |
Not Available |
Full Name | Rise Supports Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1795 Bay St, Taunton, Massachusetts |
Authorized Official Name and Position | Kerri Shea (BCBA/CO-OWNER) |
Authorized Official Contact | 7816358349 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rise Supports Llc Po Box 89 Humarock MA 02047-0089 Ph: (781) 635-8349 | Rise Supports Llc 1795 Bay St Taunton MA 02780-1006 Ph: (203) 525-5064 |
NPI Number | 1578339701 |
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Provider Enumeration Date | 11/29/2023 |
Last Update Date | 11/29/2023 |
Certification Date | 11/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578339701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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