| Rise Behavioral Services Llc | |
|
9305 Main St Ste E Zachary LA 70791-7441 | |
| (225) 278-1020 | |
| (844) 270-3049 |
| Full Name | Rise Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9305 Main St Ste E, Zachary, Louisiana |
| Authorized Official Name and Position | Donyelle Kennedy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2253054542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Behavioral Services Llc Po Box 1806 Zachary LA 70791-1806 Ph: (225) 305-4542 | Rise Behavioral Services Llc 9305 Main St Ste E Zachary LA 70791-7441 Ph: (225) 278-1020 |
| NPI Number | 1942773015 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942773015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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