Provider Demographics
NPI:1912358813
Name:ASPIRE LEARNING CENTER LLC
Entity Type:Organization
Organization Name:ASPIRE LEARNING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED APPLIED BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FRONGILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LABA, MS, BCBA
Authorized Official - Phone:978-387-6563
Mailing Address - Street 1:100 CUMMINGS CTR STE 135C
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6263
Mailing Address - Country:US
Mailing Address - Phone:978-473-7300
Mailing Address - Fax:978-969-0083
Practice Address - Street 1:100 CUMMINGS CTR STE 135C
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6263
Practice Address - Country:US
Practice Address - Phone:978-473-7300
Practice Address - Fax:978-969-0083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000000964103K00000X
MA8125235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110118438AMedicaid