Provider Demographics
NPI:1740097005
Name:ASPIRE ABA THERAPY MD LLC
Entity type:Organization
Organization Name:ASPIRE ABA THERAPY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BAT
Authorized Official - Middle Name:SHEVA
Authorized Official - Last Name:LESHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-606-6681
Mailing Address - Street 1:1999 CEDARBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-7048
Mailing Address - Country:US
Mailing Address - Phone:800-883-9087
Mailing Address - Fax:732-960-5071
Practice Address - Street 1:6340 SECURITY BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-5284
Practice Address - Country:US
Practice Address - Phone:301-798-4375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty