Healthcare Provider Details

I. General information

NPI: 1427856467
Provider Name (Legal Business Name): RISE BEHAVIOR THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 NW 151ST ST STE 206
MIAMI LAKES FL
33014-2454
US

IV. Provider business mailing address

5901 NW 151ST ST STE 206
MIAMI LAKES FL
33014-2454
US

V. Phone/Fax

Practice location:
  • Phone: 305-606-6341
  • Fax:
Mailing address:
  • Phone: 305-606-6341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: AVI CLARO
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-606-6341