Organization
ASPIRE LEARNING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANEY MARIE FRONGILLO LABA, M.S., BCBA (LICENSED APPLIED BEHAVIOR ANALYST)
(978) 387-6563
Entity
Organization
Contact information
Practice address
100 CUMMINGS CTR STE 135C, BEVERLY, MA 01915-6263
(978) 473-7300
(978) 969-0083
Mailing address
100 CUMMINGS CTR STE 135C, BEVERLY, MA 01915-6263
(978) 473-7300
(978) 969-0083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000000964
MA
235Z00000X
Speech-Language Pathologist
8125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110118438A
—
MA
Enumeration date
06/22/2016
Last updated
05/10/2022
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