Provider Demographics
NPI:1811644974
Name:LEARN & RISE CORP
Entity type:Organization
Organization Name:LEARN & RISE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ MOJENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-637-5301
Mailing Address - Street 1:5130 S FLORIDA AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2539
Mailing Address - Country:US
Mailing Address - Phone:727-637-5301
Mailing Address - Fax:863-248-8809
Practice Address - Street 1:5130 S FLORIDA AVE STE 410
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2539
Practice Address - Country:US
Practice Address - Phone:727-637-5301
Practice Address - Fax:863-248-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113599500Medicaid