| Starlight Autism Therapy Pllc | |
|
197 Yuma Ln Carol Stream IL 60188-1979 | |
| (815) 710-8734 | |
| Not Available |
| Full Name | Starlight Autism Therapy Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 197 Yuma Ln, Carol Stream, Illinois |
| Authorized Official Name and Position | Sarah O Shams (ADMINISTRATOR) |
| Authorized Official Contact | 8157108734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Autism Therapy Pllc 197 Yuma Ln Carol Stream IL 60188-1979 Ph: () - | Starlight Autism Therapy Pllc 197 Yuma Ln Carol Stream IL 60188-1979 Ph: (815) 710-8734 |
| NPI Number | 1861152662 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861152662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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