Organization
RISE AUTISM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK GRABER BCBA (OWNER)
(812) 929-2271
Entity
Organization
Contact information
Practice address
239 E WINSLOW RD, BLOOMINGTON, IN 47401-8638
(812) 929-2271
Mailing address
239 E WINSLOW RD, BLOOMINGTON, IN 47401-8638
(812) 929-2271
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/16/2020
Last updated
01/13/2025
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