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General NPI Number Information
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NPI Number | 1023729837
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Entity Type | Organization
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Legal Business Name | ASPIRE AUTISM THERAPY, LLC
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 4515 HARDING PIKE STE A-114
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City | NASHVILLE
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State | TN
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Zip | 37205-2118
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Country | US
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Telephone | 615-236-6399
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Fax | 615-216-9773
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Provider Business Mailing Address
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Address Line | 4515 HARDING PIKE STE A-114
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City | NASHVILLE
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State | TN
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Zip | 37205-2118
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Country | US
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Telephone | 615-236-6399
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Fax | 615-216-9773
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ERIC YETTER
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Credential |
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Telephone | 615-236-6399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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