| Rise Behavioral LLC | |
|
909 C St Geneva NE 68361-2832 | |
| (402) 617-0219 | |
| Not Available |
| Full Name | Rise Behavioral LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 909 C St, Geneva, Nebraska |
| Authorized Official Name and Position | Jethro Solomon (CEO) |
| Authorized Official Contact | 4043081594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Behavioral LLC 909 C St Geneva NE 68361-2832 Ph: (402) 617-0219 | Rise Behavioral LLC 909 C St Geneva NE 68361-2832 Ph: (402) 617-0219 |
| NPI Number | 1518592195 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518592195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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