Provider Demographics
NPI:1285107409
Name:TEACH, ACQUIRE, THRIVE, LLC
Entity type:Organization
Organization Name:TEACH, ACQUIRE, THRIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA 1-14-9902
Authorized Official - Phone:209-923-3323
Mailing Address - Street 1:612 HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-4613
Mailing Address - Country:US
Mailing Address - Phone:209-923-3323
Mailing Address - Fax:707-317-1517
Practice Address - Street 1:612 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-4613
Practice Address - Country:US
Practice Address - Phone:209-923-3323
Practice Address - Fax:707-317-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty