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General NPI Number Information
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NPI Number | 1285598862
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Entity Type | Organization
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Legal Business Name | RISE & THRIVE GROWTH LAB
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 619 HOOPER AVE
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City | SIMI VALLEY
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State | CA
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Zip | 93065-7360
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Country | US
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Telephone | 818-919-0032
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Fax |
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Provider Business Mailing Address
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Address Line | 619 HOOPER AVE
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City | SIMI VALLEY
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State | CA
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Zip | 93065-7360
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Country | US
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Telephone | 818-919-0032
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | BRITTNEY MICHAELS
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Credential | M.S., BCBA,
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Telephone | 818-919-0032
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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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