Organization Active NPI

Rise and Shine ABA Services LLC

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1932938156
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
RISE AND SHINE ABA SERVICES LLC
Practice address
122 W Pine St Ste 363
Orlando, FL 32801-2647
Phone
(305) 834-5033
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Nikiforos PetrakisNPI 1962093963
Title
Owner
Phone
(305) 834-5033

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 TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

122 W Pine St Ste 363
Orlando, FL 32801-2647

Mailing address

122 W Pine St Ste 363
Orlando, FL 32801-2647
Phone (305) 834-5033

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1932938156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W PINE ST STE 363",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012647",
            "telephone_number": "305-834-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W PINE ST STE 363",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012647",
            "telephone_number": "305-834-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE AND SHINE ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "PETRAKIS",
        "authorized_official_first_name": "NIKIFOROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-834-5033"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.