Organization
RISE ABA THERAPY
Active
Other names
Rise ABA Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNA D KYLE ME D, BCBA, LBA (OWNER)
(843) 592-8582
Entity
Organization
Contact information
Practice address
845 N 20TH ST, WYTHEVILLE, VA 24382-1024
(843) 592-8582
Mailing address
157 RIVER WINDING RD, JACKSONVILLE, NC 28540-9394
(843) 592-8582
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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