Provider Demographics
NPI:1679087449
Name:RISING STAR LEARNING
Entity type:Organization
Organization Name:RISING STAR LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:YU-EN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:408-802-1965
Mailing Address - Street 1:3009 KAISER DR UNIT H
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-4734
Mailing Address - Country:US
Mailing Address - Phone:408-802-1965
Mailing Address - Fax:
Practice Address - Street 1:3009 KAISER DR UNIT H
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-4734
Practice Address - Country:US
Practice Address - Phone:408-802-1965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-17-25517103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty