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General NPI Number Information
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NPI Number | 1174450175
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Entity Type | Organization
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Legal Business Name | RISE & FLOURISH ABA THERAPY, LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 1845 TOWN CENTER BLVD STE 205
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-3359
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Country | US
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Telephone | 904-946-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 1845 TOWN CENTER BLVD STE 205
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-3359
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Country | US
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Telephone | 904-946-5404
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JANNAH FIELDS
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Credential | MA, BCBA
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Telephone | 904-236-1143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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