Organization Active NPI

Rising Star Behavior Services LLC

  • Behavior Analyst
  • Arvada, CO
National Provider Identifier
1003312844
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27863 Issued in NC
Legal business name
RISING STAR BEHAVIOR SERVICES LLC
Practice address
5921 Taft St
Arvada, CO 80004-4232
Phone
(720) 375-4949
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Xaviera Star London, BCBA
Title
Behavior Analyst
Phone
(720) 375-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-17-27863 NC Primary

Addresses

Primary practice location

5921 Taft St
Arvada, CO 80004-4232

Mailing address

985 Derbyshire LN
Greenville, NC 27858-0007

Other names 1

  • Rising Star Behavior Services, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1003312844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 DERBYSHIRE LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278580007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 TAFT ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044232",
            "telephone_number": "720-375-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STAR BEHAVIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "XAVIERA",
        "authorized_official_middle_name": "STAR",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "720-375-4949",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-17-27863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Star Behavior Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.