Healthcare Provider Details

I. General information

NPI: 1407781297
Provider Name (Legal Business Name): LEARN & RISE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 HARDEN BLVD STE 160
LAKELAND FL
33803-1824
US

IV. Provider business mailing address

1818 HARDEN BLVD STE 160
LAKELAND FL
33803-1824
US

V. Phone/Fax

Practice location:
  • Phone: 727-637-5301
  • Fax:
Mailing address:
  • Phone: 863-816-4253
  • Fax: 863-248-8809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: THALIA RAMIREZ MOJENA
Title or Position: CEO
Credential:
Phone: 727-637-5301