Organization Active NPI

Kids Rise ABA Therapy LLC

  • Behavior Analyst
  • Fort Worth, TX
National Provider Identifier
1881214211
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDS RISE ABA THERAPY LLC
Practice address
6747 Silver Sage Dr
Fort Worth, TX 76137-1840
Phone
(201) 654-2396
NPI assigned
Apr 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Anabell Regueira, BCBANPI 1225529589
Title
Bcba
Phone
(201) 654-2396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6747 Silver Sage Dr
Fort Worth, TX 76137-1840

Mailing address

6747 Silver Sage Dr
Fort Worth, TX 76137-1840

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL primetimeaba@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1881214211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 SILVER SAGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6747 SILVER SAGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371840",
            "telephone_number": "201-654-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS RISE ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "REGUEIRA",
        "authorized_official_first_name": "ANABELL",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "201-654-2396",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "primetimeaba@gmail.com",
            "affiliation": "N",
            "address_1": "6747 Silver Sage Dr",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761371840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.