Healthcare Provider Details

I. General information

NPI: 1124912746
Provider Name (Legal Business Name): RISENOW AUTISM INNOVATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S VALLEY RD STE 101
PAOLI PA
19301-1469
US

IV. Provider business mailing address

30 S VALLEY RD STE 101
PAOLI PA
19301-1469
US

V. Phone/Fax

Practice location:
  • Phone: 833-940-6061
  • Fax: 267-331-4002
Mailing address:
  • Phone: 833-940-6061
  • Fax: 484-374-2165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD D AMATO
Title or Position: MANAGING PARTNER/FOUNDER
Credential: CRNP
Phone: 484-383-0300