| Riseup Llc | |
|
620 Victory Way Lake Charles LA 70611-6852 | |
| (985) 232-7971 | |
| Not Available |
| Full Name | Riseup Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 620 Victory Way, Lake Charles, Louisiana |
| Authorized Official Name and Position | Kaylee Bihm (OWNER) |
| Authorized Official Contact | 9852327971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riseup Llc 620 Victory Way Lake Charles LA 70611-6852 Ph: () - | Riseup Llc 620 Victory Way Lake Charles LA 70611-6852 Ph: (985) 232-7971 |
| NPI Number | 1699464065 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699464065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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