Provider Demographics
NPI:1427596931
Name:INSPIRE BEHAVIORAL THERAPY LLC
Entity Type:Organization
Organization Name:INSPIRE BEHAVIORAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER/ BEHAVIOR ANALYST
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:VOLK
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:651-354-3347
Mailing Address - Street 1:1720 S MARSHALL RD TRLR 19
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-7346
Mailing Address - Country:US
Mailing Address - Phone:651-354-3347
Mailing Address - Fax:
Practice Address - Street 1:1720 S MARSHALL RD TRLR 19
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-7346
Practice Address - Country:US
Practice Address - Phone:651-354-3347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty