| Achieving Stars Wy Llc | |
|
2232 Dell Range Blvd Ste 200 Cheyenne WY 82009-4942 | |
| (833) 666-3115 | |
| (833) 666-3115 |
| Full Name | Achieving Stars Wy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2232 Dell Range Blvd Ste 200, Cheyenne, Wyoming |
| Authorized Official Name and Position | Moshe Hirschman (DIRECTOR) |
| Authorized Official Contact | 6094551123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieving Stars Wy Llc 1133 Sage St Far Rockaway NY 11691-4820 Ph: (609) 455-1123 | Achieving Stars Wy Llc 2232 Dell Range Blvd Ste 200 Cheyenne WY 82009-4942 Ph: (833) 666-3115 |
| NPI Number | 1972331643 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972331643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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