Provider Demographics
NPI:1598412835
Name:ASPIRE BEHAVIORAL CARE
Entity Type:Organization
Organization Name:ASPIRE BEHAVIORAL CARE
Other - Org Name:ASPIRE BEHAVIORAL CARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-465-3695
Mailing Address - Street 1:8523 CATALISSA AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8719
Mailing Address - Country:US
Mailing Address - Phone:719-231-1072
Mailing Address - Fax:
Practice Address - Street 1:8523 CATALISSA AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8719
Practice Address - Country:US
Practice Address - Phone:321-451-1668
Practice Address - Fax:719-465-3914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty