MEDICARE: VERA LUMILLA RISE

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1801783279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERA LUMILLA RISE

Provider Business Mailing Address
First Line	:	1900 E MILITARY AVE STE 220
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-5433
Country	:	US
Telephone Number	:	531-283-1585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 E MILITARY AVE STE 220
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-5433
Country	:	US
Telephone Number	:	531-666-0251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	06/03/2026

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Directions to “ VERA LUMILLA RISE ” Practice Location

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