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General NPI Number Information
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NPI Number | 1578339701
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Entity Type | Organization
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Legal Business Name | RISE SUPPORTS LLC
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 39 SEABISCUIT DR
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City | PLYMOUTH
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State | MA
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Zip | 02360-8608
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Country | US
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Telephone | 203-525-5064
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Fax | 866-211-2884
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Provider Business Mailing Address
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Address Line | 39 SEABISCUIT DR
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City | PLYMOUTH
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State | MA
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Zip | 02360-8608
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Country | US
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Telephone | 781-635-8349
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Fax | 866-211-2884
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Authorized Official
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Title or Position | BCBA/CO-OWNER
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Name | KERRI SHEA
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Credential | BCBA, LABA
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Telephone | 781-635-8349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 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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