| Brilliant Stars Aba, Llc | |
|
2301 Leeward Pl Little Elm TX 75068-6319 | |
| (408) 666-7363 | |
| Not Available |
| Full Name | Brilliant Stars Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2301 Leeward Pl, Little Elm, Texas |
| Authorized Official Name and Position | Setareh Dehghani Moslemi (OWNER) |
| Authorized Official Contact | 4086667363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Stars Aba, Llc 2301 Leeward Pl Little Elm TX 75068-6319 Ph: () - | Brilliant Stars Aba, Llc 2301 Leeward Pl Little Elm TX 75068-6319 Ph: (408) 666-7363 |
| NPI Number | 1811556087 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811556087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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