Organization Active NPI

Rise Supports LLC

  • Behavior Analyst
  • Plymouth, MA
National Provider Identifier
1578339701
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RISE SUPPORTS LLC
Practice address
39 Seabiscuit Dr
Plymouth, MA 02360-8608
Phone
(203) 525-5064
Fax
(866) 211-2884
NPI assigned
Nov 29, 2023
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Kerri Shea, BCBA, LABANPI 1215589015
Title
Bcba/Co-Owner
Phone
(781) 635-8349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

39 Seabiscuit Dr
Plymouth, MA 02360-8608

Mailing address

39 Seabiscuit Dr
Plymouth, MA 02360-8608
Phone (781) 635-8349

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1578339701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SEABISCUIT DR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608608",
            "telephone_number": "781-635-8349",
            "fax_number": "866-211-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SEABISCUIT DR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608608",
            "telephone_number": "203-525-5064",
            "fax_number": "866-211-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "BCBA/CO-OWNER",
        "authorized_official_telephone_number": "781-635-8349",
        "authorized_official_credential": "BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.