Provider Demographics
NPI:1457136905
Name:RYSE AUTISM AND EDUCATION CENTER
Entity Type:Organization
Organization Name:RYSE AUTISM AND EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:765-432-2003
Mailing Address - Street 1:1730 E 800 N
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-7315
Mailing Address - Country:US
Mailing Address - Phone:765-432-2003
Mailing Address - Fax:
Practice Address - Street 1:1730 E 800 N
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-7315
Practice Address - Country:US
Practice Address - Phone:765-432-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty