Provider Demographics
NPI:1689484776
Name:SUNRISE HOLISTIC CARE INC
Entity type:Organization
Organization Name:SUNRISE HOLISTIC CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:951-818-0006
Mailing Address - Street 1:17871 SANTIAGO BLVD STE 222
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:92861-4126
Mailing Address - Country:US
Mailing Address - Phone:310-488-2814
Mailing Address - Fax:
Practice Address - Street 1:17871 SANTIAGO BLVD STE 222
Practice Address - Street 2:
Practice Address - City:VILLA PARK
Practice Address - State:CA
Practice Address - Zip Code:92861-4126
Practice Address - Country:US
Practice Address - Phone:310-488-2814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty