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Organization
NEURORISE BEHAVIORAL CENTER LLC
Active
Organization
NEURORISE BEHAVIORAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE CHACON BCBA-1-24-73351 (OWNER)
(305) 615-9297
Entity
Organization
Contact information
Practice address
2256 FIRST ST STE 130, FORT MYERS, FL 33901-2960
(305) 615-9297
Mailing address
2256 FIRST ST STE 130, FORT MYERS, FL 33901-2960
(305) 615-9297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
09/12/2025
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