NPIMap

Organization Active NPI

Aspire

  • Behavior Analyst
  • Goose Creek, SC
National Provider Identifier
1063647964
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-52301-10-7178,1
Legal business name
ASPIRE
Practice address
222 Redbank Rd
Goose Creek, SC 29445
Phone
(843) 628-2935
Fax
(843) 628-2935
NPI assigned
May 20, 2009
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rochelle R Altman, ED.S., M.S.NPI 1356585749
Title
Executive Director/Bcba
Phone
(843) 628-2935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1052 SC
Speech-Language Pathologist 235Z00000X 4183 SC
Behavior Analyst 103K00000X 1-09-5230 SC
Behavior Analyst 103K00000X 1-09-52301-10-7178,1 Primary

Addresses

Primary practice location

222 Redbank Rd
Goose Creek, SC 29445

Mailing address

PO Box 1667
Goose Creek, SC 29443
Phone (843) 628-2935

Other identifiers 1

IdentifierTypeStateIssuer
EXG313MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Aspire3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

222 Red Bank Rd
Goose Creek, SC 29445
Phone (843) 628-2935

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1063647964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1667",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "29443",
            "telephone_number": "843-628-2935",
            "fax_number": "843-628-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 REDBANK RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "29445",
            "telephone_number": "843-628-2935",
            "fax_number": "843-628-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/BCBA",
        "authorized_official_telephone_number": "843-628-2935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED.S., M.S."
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "1052",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4183",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-09-5230",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-09-52301-10-7178,1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXG313",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.