Provider Demographics
NPI:1669942066
Name:ASPIRE AUTISM THERAPY, PLLC
Entity type:Organization
Organization Name:ASPIRE AUTISM THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:EVA
Authorized Official - Last Name:GITTINS
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:956-261-4169
Mailing Address - Street 1:5501 ROSENA TRL
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4329
Mailing Address - Country:US
Mailing Address - Phone:956-261-4169
Mailing Address - Fax:956-225-0160
Practice Address - Street 1:1200 N 10TH ST STE E
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4372
Practice Address - Country:US
Practice Address - Phone:956-261-4169
Practice Address - Fax:562-250-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4400863-01Medicaid