Active NPI
Rise Above Behavioral Group CT LLC
- Behavior Analyst
- Watertown, CT
National Provider Identifier
1679334346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
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.
-
- Behavior Analyst
- Miami, FL
- NPI 1073152609
-
- Behavior Analyst
- Watertown, CT
- NPI 1730826710
-
- Behavior Analyst
- Watertown, CT
- NPI 1225605983
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.