NPI 1063647964 · live from the CMS NPI Registry
Aspire
Behavior Analyst in Goose Creek, SC. National Provider Identifier 1063647964, active.
NPI record
| NPI | 1063647964 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 222 Redbank Rd, Goose Creek, SC 29445 |
| Practice phone | 843-628-2935 |
| Mailing address | Po Box 1667, Goose Creek, SC 29443 |
| Enumerated | May 20, 2009 |
| Last updated | June 12, 2012 |
| Authorized official | Rochelle Altman, Executive Director/Bcba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-09-5230 (SC) |
| Psychologist, School | 103TS0200X | 1052 (SC) |
| Speech-Language Pathologist, | 235Z00000X | 4183 (SC) |
| Behavior Analyst primary | 103K00000X | 1-09-52301-10-7178,1 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.