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Organization
RISE ABA CENTER LLC
Active
Organization
RISE ABA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE KINKADE (CEO)
(713) 875-7435
Entity
Organization
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 773-5180
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 875-7435
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/30/2020
Last updated
06/11/2020
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