Provider Demographics
NPI:1952064883
Name:ASPIRE TOGETHER INC
Entity Type:Organization
Organization Name:ASPIRE TOGETHER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:KARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PREUDHOMME
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:336-978-4443
Mailing Address - Street 1:539 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2915
Mailing Address - Country:US
Mailing Address - Phone:508-841-5000
Mailing Address - Fax:
Practice Address - Street 1:539 MAIN ST
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-2915
Practice Address - Country:US
Practice Address - Phone:508-841-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1063899599Medicaid