| Shining Starr Llc | |
|
84 Bullskin St Charles Town WV 25414-5434 | |
| (804) 833-1697 | |
| Not Available |
| Full Name | Shining Starr Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 84 Bullskin St, Charles Town, West Virginia |
| Authorized Official Name and Position | Natoya Jones (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8048331697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Starr Llc 84 Bullskin St Charles Town WV 25414-5434 Ph: (804) 833-1697 | Shining Starr Llc 84 Bullskin St Charles Town WV 25414-5434 Ph: (804) 833-1697 |
| NPI Number | 1033833207 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033833207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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