Phoenix Rising Behavioral Services LLC

Behavior Analyst · Cedar Park, TX

Organization Active NPI

NPI number 1114756475

Practice location

12638 Ridgeline Blvd Apt 6304
Cedar Park, TX 78613-1212
Phone
(512) 761-6775
Fax
(737) 367-3007

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NPI record

NPI
1114756475
Entity type
Organization (Type 2)
Enumeration date
July 26, 2024
Last updated
August 9, 2024
Certified
August 9, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Stephanie Waldon, BCBA, LBA
Title
Board Certified Behavior Analyst
Phone
(512) 761-6775

About Phoenix Rising Behavioral Services LLC

Phoenix Rising Behavioral Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 12638 Ridgeline Blvd Apt 6304, Cedar Park, TX 78613-1212. The NPI number 1114756475 was assigned on July 26, 2024 and the record was last updated on August 9, 2024.

The authorized official for this organization is Stephanie Waldon, BCBA, LBA, Board Certified Behavior Analyst.

Frequently asked questions

What is the NPI number of Phoenix Rising Behavioral Services LLC?

The NPI number is 1114756475.

What is the phone number of Phoenix Rising Behavioral Services LLC?

The phone number listed for the practice location is (512) 761-6775.

Where is Phoenix Rising Behavioral Services LLC located?

12638 Ridgeline Blvd Apt 6304, Cedar Park, TX 78613-1212.

What is the taxonomy code for Phoenix Rising Behavioral Services LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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