Neurorise Behavioral Center LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEURORISE BEHAVIORAL CENTER LLC

Practice address

2256 First St Ste 130
Fort Myers, FL 33901-2960

Phone

(305) 615-9297

NPI assigned

Aug 5, 2025

Organization subpart

No

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

Authorized official

Name

Marie Chacon, BCBA-1-24-73351NPI 1982161279

Title

Owner

Phone

(305) 615-9297

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marie Chacon

  • Behavior Analyst
  • Cape Coral, FL
  • NPI 1982161279
  NPD (past) Authorized official

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1699659128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 FIRST ST STE 130",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339012960",
            "telephone_number": "305-615-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 FIRST ST STE 130",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339012960",
            "telephone_number": "305-615-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURORISE BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-615-9297",
        "authorized_official_credential": "BCBA-1-24-73351"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.