Riverside FFK LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

RIVERSIDE FFK LLC

Practice address

53 Tremont St
South Portland, ME 04106-6131

Phone

(207) 233-2274

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Olanrewaju Fashina

Title

Partner 1

Phone

(207) 233-2274

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1679299093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SUNSET AVE APT 1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066156",
            "telephone_number": "207-233-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 TREMONT ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066131",
            "telephone_number": "207-233-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FFK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A",
        "authorized_official_last_name": "FASHINA",
        "authorized_official_first_name": "OLANREWAJU",
        "authorized_official_title_or_position": "PARTNER 1",
        "authorized_official_telephone_number": "207-233-2274"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATES",
            "identifier": "9385374",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn Rinaldi, M.S., CCC-SLP
• Margaux Rioux, FNP
• Rite Aid of Maine Inc
• Rite Aid of Maine Inc
• Sara Littlefield Rivard, D.C.
• Cynthia Lynn Robbins, M.D.
• Francis H Robbins, OD
• Amanda Robinson
• Kristen M Robinson
• Dana Robison, FNP

• Behavior Analyst in South Portland, ME
• Providers in South Portland, ME by specialty
• Behavior Analyst in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.