# RISE BEHAVIORAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518592195
- **Authorized official:** JETHRO SOLOMON (CEO)
- **Authorized official phone:** (404) 308-1594

## Contact information

- **Practice address:** 909 C ST, GENEVA, NE 68361-2832
- **Practice address phone:** (402) 617-0219
- **Mailing address:** 909 C ST, GENEVA, NE 68361-2832
- **Mailing address phone:** (402) 617-0219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2020
- **Last updated:** 03/04/2020