NPIMap

Organization Active NPI

Rise and Shine ABA LLC

  • Behavior Analyst
  • Newark, NJ
National Provider Identifier
1740160274
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RISE AND SHINE ABA LLC
Practice address
625 Broad St Ste 240
Newark, NJ 07102-4417
Phone
(212) 901-9922
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Shazia Khaliq
Title
Executive Director
Phone
(212) 901-9922

Specialties & licenses 1

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

Addresses

Primary practice location

625 Broad St Ste 240
Newark, NJ 07102-4417

Mailing address

625 Broad St Ste 240
Newark, NJ 07102-4417
Phone (212) 901-9922

National Provider Directory

National Provider Directory
Tax ID family
Rise and Shine ABA LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1740160274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BROAD ST STE 240",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024417",
            "telephone_number": "212-901-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BROAD ST STE 240",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024417",
            "telephone_number": "212-901-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE AND SHINE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "KHALIQ",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-901-9922"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.