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NPI Code Detail

MEDICARE: ASPIRE BEHAVIORAL SERVICES LLC

MEDICARE: ASPIRE BEHAVIORAL SERVICES 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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist
32355S0801XSpeech-Language Assistant
4235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1942059431
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE BEHAVIORAL SERVICES LLC
Provider Business Mailing Address
First Line : 7260 W AZURE DR STE 140-447
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7999
Country : US
Telephone Number : 702-265-8436
Fax Number :
Provider Business Practice Location Address
First Line : 2950 E ROCHELLE AVE STE B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5301
Country : US
Telephone Number : 702-789-7282
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. LISA SHAYNE RUIZ-LEE
Credential :
Telephone Number : 702-265-8436
Provider Enumeration Date : 05/16/2024
Last Update Date : 10/22/2025

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Directions to “ASPIRE BEHAVIORAL SERVICES LLC ” Practice Location

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