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General NPI Number Information
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NPI Number | 1922982669
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Entity Type | Organization
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Legal Business Name | ASPIRE BEHAVIORAL GROUP LLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 6601 W UNIVERSITY DRIVE, SUITE C
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City | MCKINNEY
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State | TX
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Zip | 75071-4822
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Country | US
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Telephone | 972-442-9971
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Fax | 972-540-2295
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Provider Business Mailing Address
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Address Line | 1424 ELLICOTT DR
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City | CELINA
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State | TX
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Zip | 75009-0894
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Country | US
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Telephone | 314-420-8190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KISHAN RAO BAGAM
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Credential |
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Telephone | 314-420-8190
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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 | 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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