MEDICARE: LEARN & RISE CORP

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	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811644974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEARN & RISE CORP

Provider Business Mailing Address
First Line	:	160 FITZGERALD RD STE 3
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-2618
Country	:	US
Telephone Number	:	863-816-4253
Fax Number	:	863-248-8809

Provider Business Practice Location Address
First Line	:	160 FITZGERALD RD STE 3
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-2618
Country	:	US
Telephone Number	:	863-816-4253
Fax Number	:	863-248-8809

Authorized Official
Title or Position	:	CEO
Name	:	THALIA RAMIREZ MOJENA
Credential	:
Telephone Number	:	727-637-5301

Provider Enumeration Date	:	03/08/2022
Last Update Date	:	03/11/2026

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Directions to “LEARN & RISE CORP ” Practice Location

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