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NPI Code Detail

MEDICARE: ASPIRE LEARNING CENTER LLC

MEDICARE: ASPIRE LEARNING CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8125MA
2103K00000XBehavior Analyst000000964MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912358813
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE LEARNING CENTER LLC
Provider Business Mailing Address
First Line : 100 CUMMINGS CTR STE 135C
Second Line :
City : BEVERLY
State : MA
Zip : 01915-6263
Country : US
Telephone Number : 978-473-7300
Fax Number : 978-969-0083
Provider Business Practice Location Address
First Line : 100 CUMMINGS CTR STE 135C
Second Line :
City : BEVERLY
State : MA
Zip : 01915-6263
Country : US
Telephone Number : 978-473-7300
Fax Number : 978-969-0083
Authorized Official
Title or Position : LICENSED APPLIED BEHAVIOR ANALYST
Name : MRS. TIFFANEY MARIE FRONGILLO
Credential : LABA, M.S., BCBA
Telephone Number : 978-387-6563
Provider Enumeration Date : 06/22/2016
Last Update Date : 05/10/2022

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1043687437 — MOLLY SHEEHAN
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1407362940 — RACHEL DUPUIS SLP
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Directions to “ASPIRE LEARNING CENTER LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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