Healthcare Provider Details

I. General information

NPI: 1417697970
Provider Name (Legal Business Name): ASPIRE BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N MARYLAND PKWY
LAS VEGAS NV
89101-3133
US

IV. Provider business mailing address

7260 W AZURE DR STE 140-447
LAS VEGAS NV
89130-7999
US

V. Phone/Fax

Practice location:
  • Phone: 702-265-8436
  • Fax:
Mailing address:
  • Phone: 702-789-7282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LISA S. RUIZ-LEE
Title or Position: OWNER
Credential:
Phone: 702-265-8436