Provider Demographics
NPI:1528571908
Name:ASPIRANT LLC
Entity Type:Organization
Organization Name:ASPIRANT LLC
Other - Org Name:SUCCESSFUL LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CALYN
Authorized Official - Middle Name:ENGLISH
Authorized Official - Last Name:HOLDAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-353-4230
Mailing Address - Street 1:3619 S BAY RD NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-2650
Mailing Address - Country:US
Mailing Address - Phone:253-353-4230
Mailing Address - Fax:
Practice Address - Street 1:3619 S BAY RD NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-2650
Practice Address - Country:US
Practice Address - Phone:253-353-4230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60762983103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty