Organization
RISE FOR AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANN ANTLITZ RN (EXECUTIVE DIRECTOR)
(410) 487-6011
Entity
Organization
Contact information
Practice address
510 MCCORMICK DR STE U, GLEN BURNIE, MD 21061-8283
(410) 487-6011
Mailing address
510 MCCORMICK DR STE U, GLEN BURNIE, MD 21061-8283
(410) 487-6011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/04/2017
Last updated
12/06/2023
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