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General NPI Number Information
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NPI Number | 1124912746
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Entity Type | Organization
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Legal Business Name | RISENOW AUTISM INNOVATIONS LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 30 S VALLEY RD STE 101
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City | PAOLI
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State | PA
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Zip | 19301-1469
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Country | US
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Telephone | 833-940-6061
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Fax | 267-331-4002
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Provider Business Mailing Address
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Address Line | 30 S VALLEY RD STE 101
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City | PAOLI
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State | PA
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Zip | 19301-1469
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Country | US
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Telephone | 833-940-6061
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Fax | 484-374-2165
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Authorized Official
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Title or Position | MANAGING PARTNER/FOUNDER
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Name | RICHARD D AMATO
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Credential | CRNP
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Telephone | 484-383-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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