Provider Demographics
NPI:1003500729
Name:MINDRISE CONSULTING LLC
Entity Type:Organization
Organization Name:MINDRISE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA BCBA LBA
Authorized Official - Phone:203-999-2777
Mailing Address - Street 1:54 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3512
Mailing Address - Country:US
Mailing Address - Phone:203-999-2777
Mailing Address - Fax:
Practice Address - Street 1:54 FOREST ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3512
Practice Address - Country:US
Practice Address - Phone:203-999-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty