Provider Demographics
NPI:1588249742
Name:ASPIRE BEHAVIOR CONSULTING, LLC
Entity type:Organization
Organization Name:ASPIRE BEHAVIOR CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:916-597-4634
Mailing Address - Street 1:5955 MALEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0411
Mailing Address - Country:US
Mailing Address - Phone:916-597-4634
Mailing Address - Fax:
Practice Address - Street 1:5955 MALEVILLE AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0411
Practice Address - Country:US
Practice Address - Phone:916-597-4634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty