Organization Active NPI

Rise Above Behavioral Group CT LLC

  • Behavior Analyst
  • Watertown, CT
National Provider Identifier
1679334346
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RISE ABOVE BEHAVIORAL GROUP CT LLC
Practice address
76 Westbury Park Rd Ste 306E
Watertown, CT 06795-2779
Phone
(305) 317-2818
NPI assigned
Jan 19, 2024
Organization subpart
Yes
Parent organization
RISE ABOVE BEHAVIORAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Mrs. Jenny Acevedo Usuga, BCBA
Title
Bcba
Phone
(475) 235-5709

Specialties & licenses 1

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

Addresses

Primary practice location

76 Westbury Park Rd Ste 306E
Watertown, CT 06795-2779

Mailing address

180 NE 29TH St Apt 903
Miami, FL 33137-5236
Phone (475) 235-5709

Other names 1

  • Rise Above Behavioral Group Doing business as

National Provider Directory

National Provider Directory
Part of
Rise Above Behavioral Group LLC

Locations

76 Westbury Park Rd
Ste 306E
Watertown, CT 06795
Phone (305) 317-2818

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1679334346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NE 29TH ST APT 903",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375236",
            "telephone_number": "475-235-5709",
            "fax_number": "305-564-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WESTBURY PARK RD STE 306E",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952779",
            "telephone_number": "305-317-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE ABOVE BEHAVIORAL GROUP CT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RISE ABOVE BEHAVIORAL GROUP LLC",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "USUGA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "ACEVEDO",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "475-235-5709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rise Above Behavioral Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.