Provider Demographics
NPI:1467192971
Name:ASPIRE BEHAVIOR ANALYSIS, LLC
Entity Type:Organization
Organization Name:ASPIRE BEHAVIOR ANALYSIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELCI
Authorized Official - Middle Name:
Authorized Official - Last Name:YURGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA, LBA
Authorized Official - Phone:518-744-7808
Mailing Address - Street 1:2001 LAFAYETTE BLVD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-2225
Mailing Address - Country:US
Mailing Address - Phone:518-744-7808
Mailing Address - Fax:
Practice Address - Street 1:2001 LAFAYETTE BLVD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-2225
Practice Address - Country:US
Practice Address - Phone:518-744-7808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty