NEURORISE BEHAVIORAL CENTER LLC
NPI 1699659128
Behavior Analyst in Fort Myers, FL

Active since August 05, 2025
2256 FIRST ST STE 130, FORT MYERS, FL 33901(305) 615-9297 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2025, Aug 6, 2025 (2 updates tracked since 2025).

  • Organization
  • Behavior Analyst

About NEURORISE BEHAVIORAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Neurorise Behavioral Center Llc, a provider established in Fort Myers, Florida operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1699659128 assigned on August 2025. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Marie Chacon Bcba-1-24-73351 (Owner)

NPI
1699659128 Verify this NPI
Provider Name
NEURORISE BEHAVIORAL CENTER LLC
Entity Type
Organization
Location Address
2256 FIRST ST STE 130 FORT MYERS, FL 33901
Location Phone
(305) 615-9297
Mailing Address
2256 FIRST ST STE 130 FORT MYERS, FL 33901
Mailing Phone
(305) 615-9297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2025
Last Update Date
09-12-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIE CHACON BCBA-1-24-73351

Authorized Official Title
OWNER
Authorized Official Phone
(305) 615-9297

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699659128, enumerated as an "organization" on August 05, 2025.

The provider is located at 2256 FIRST ST STE 130 FORT MYERS, FL 33901 and the phone number is (305) 615-9297.

Behavior Analyst with taxonomy code 103K00000X.