| Aspire Aba | |
|
1202 Broadway St N Menomonie WI 54751-1517 | |
| (715) 231-2447 | |
| (715) 231-1817 |
| Full Name | Aspire Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1202 Broadway St N, Menomonie, Wisconsin |
| Authorized Official Name and Position | Darcie Larrieu (OWNER/CHIEF ORGANIZATION OFFICER) |
| Authorized Official Contact | 7152312447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Aba 1202 Broadway St N Menomonie WI 54751-1517 Ph: (715) 231-2447 | Aspire Aba 1202 Broadway St N Menomonie WI 54751-1517 Ph: (715) 231-2447 |
| NPI Number | 1073080891 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 05/26/2021 |
| Certification Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073080891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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