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NPI Code Detail

MEDICARE: RISE & THRIVE GROWTH LAB

MEDICARE: RISE & THRIVE GROWTH LAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

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

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Directions to “RISE & THRIVE GROWTH LAB ” Practice Location

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