Organization Active NPI

Arise Autism, LLC

  • Behavior Analyst
  • Sanford, FL
National Provider Identifier
1891306056
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ARISE AUTISM, LLC
Practice address
3840 Saint Johns Pkwy
Sanford, FL 32771-6370
Phone
(407) 710-3116
NPI assigned
Aug 12, 2020
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Sebnem Aras
Title
President
Phone
(407) 756-2703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3840 Saint Johns Pkwy
Sanford, FL 32771-6370

Mailing address

3840 Saint Johns Pkwy
Sanford, FL 32771-6370
Phone (407) 710-3116

Other identifiers 1

IdentifierTypeStateIssuer
107352100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SANFORD@ARISEAUTISMCENTER.COM

National Provider Directory

National Provider Directory

Locations

3840 Saint Johns Pkwy
Sanford, FL 32771
Phone (407) 710-3116

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1891306056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 SAINT JOHNS PKWY",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716370",
            "telephone_number": "407-710-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 SAINT JOHNS PKWY",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716370",
            "telephone_number": "407-710-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "ARAS",
        "authorized_official_first_name": "SEBNEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-756-2703"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107352100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SANFORD@ARISEAUTISMCENTER.COM",
            "affiliation": "N",
            "address_1": "3840 Saint Johns Pkwy",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327716370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.