Organization
RISE AND SHINE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZIA KHALIQ (PRESIDENT)
(212) 901-9922
Entity
Organization
Contact information
Practice address
1500 ASTOR AVE FL 2, BRONX, NY 10469-5900
(929) 460-9600
Mailing address
424 GRANDVIEW AVE, STATEN ISLAND, NY 10303-1832
(212) 901-9922
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
08/28/2025
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