Phoenix Rising Support Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PHOENIX RISING SUPPORT SERVICES LLC

Practice address

305 Hedgepocket Way
Reisterstown, MD 21136-1818

Phone

(443) 977-2813

NPI assigned

Nov 5, 2026

Last updated

Nov 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Fenwick

Title

Owner

Phone

(443) 977-2813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1790684512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HEDGEPOCKET WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361818",
            "telephone_number": "443-977-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HEDGEPOCKET WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361818",
            "telephone_number": "443-977-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "FENWICK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-977-2813"
    },
    "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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• Behavior Analyst in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.