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NPI 1669942066

NPI 1669942066 : ASPIRE AUTISM THERAPY, PLLC : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1669942066
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASPIRE AUTISM THERAPY, PLLC 
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Dates
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    Enumeration Date     |    11/28/2018
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    1200 N 10TH ST STE E 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-4372
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    Country              |    US
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    Telephone            |    956-261-4169
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    Fax                  |    562-250-1609
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Provider Business Mailing Address
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    Address Line         |    5501 ROSENA TRL 
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    City                 |    FLOWER MOUND
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    State                |    TX
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    Zip                  |    75028-4329
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    Country              |    US
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    Telephone            |    956-261-4169
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    Fax                  |    956-225-0160
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KATRINA EVA GITTINS 
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    Credential           |    LBA
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    Telephone            |    956-261-4169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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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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