Organization Active NPI

Rise Behavioral Services LLC

  • Behavior Analyst
  • Zachary, LA
National Provider Identifier
1942773015
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
RISE BEHAVIORAL SERVICES LLC
Practice address
9305 Main St Ste E
Zachary, LA 70791-7441
Phone
(225) 278-1020
Fax
(844) 270-3049
NPI assigned
Jan 10, 2019
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Donyelle Kennedy, BCBA
Title
Executive Director
Phone
(225) 305-4542

Specialties & licenses 1

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

Addresses

Primary practice location

9305 Main St Ste E
Zachary, LA 70791-7441

Mailing address

PO Box 1806
Zachary, LA 70791-1806
Phone (225) 305-4542

National Provider Directory

National Provider Directory

Locations

4817 Secretary Dr
#B
Zachary, LA 70791

9305 Main St
Ste E
Zachary, LA 70791
Phone (225) 278-1020

Practitioners & affiliated clinicians

Practitioners 3

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": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1942773015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1806",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707911806",
            "telephone_number": "225-305-4542",
            "fax_number": "844-270-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 MAIN ST STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917441",
            "telephone_number": "225-278-1020",
            "fax_number": "844-270-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DONYELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-305-4542",
        "authorized_official_credential": "BCBA"
    },
    "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 Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.