Healthcare Provider Details

I. General information

NPI: 1326987058
Provider Name (Legal Business Name): ROOT & RISE ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9256 FOUNTAIN GROVE RD
AMHERST WI
54406-9094
US

IV. Provider business mailing address

9256 FOUNTAIN GROVE RD
AMHERST WI
54406-9094
US

V. Phone/Fax

Practice location:
  • Phone: 715-891-1405
  • Fax:
Mailing address:
  • Phone: 715-891-1405
  • 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: MS. MARISSA HARFERT
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: BCBA
Phone: 715-891-1405