Organization Active NPI

Rise Above ABA of Illinois LLC.

  • Behavior Analyst
  • Park Ridge, IL
National Provider Identifier
1063127983
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RISE ABOVE ABA OF ILLINOIS LLC.
Practice address
350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262
Phone
(833) 747-3222
Fax
(833) 747-3244
NPI assigned
Jan 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Mrs. Tushia Hadasa Baum
Title
Ceo
Phone
(833) 747-3222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262

Mailing address

350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262
Phone (833) 747-3222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1063127983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "833-747-3222",
            "fax_number": "833-747-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "833-747-3222",
            "fax_number": "833-747-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE ABOVE ABA OF ILLINOIS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "TUSHIA",
        "authorized_official_middle_name": "HADASA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-747-3222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.