Healthcare Provider Details

I. General information

NPI: 1821938432
Provider Name (Legal Business Name): RISING STARS ABA BEHAVIORAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7711 N MILITARY TRL STE 212
WEST PALM BEACH FL
33410-6506
US

IV. Provider business mailing address

7711 N MILITARY TRL STE 212
WEST PALM BEACH FL
33410-6506
US

V. Phone/Fax

Practice location:
  • Phone: 561-510-8564
  • Fax:
Mailing address:
  • Phone: 561-510-8564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YEIDER BRESO ROSARIO
Title or Position: PRESIDENT
Credential:
Phone: 561-510-8564