Provider Demographics
NPI:1841541935
Name:ASPIRE OKLAHOMA LLC
Entity type:Organization
Organization Name:ASPIRE OKLAHOMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA, OWNER OF ASPIRE OKLAHOMA LLC
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE-KECK
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LPC
Authorized Official - Phone:580-540-4163
Mailing Address - Street 1:729 OVERLAND TRAIL
Mailing Address - Street 2:729 OVERLAND TRAIL
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703
Mailing Address - Country:US
Mailing Address - Phone:580-540-4163
Mailing Address - Fax:580-297-5204
Practice Address - Street 1:729 OVERLAND TRAIL
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703
Practice Address - Country:US
Practice Address - Phone:580-540-4163
Practice Address - Fax:580-297-5204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1119464103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty