| Shining Stars Aba Corp | |
|
29777 Telegraph Rd Southfield MI 48034-1303 | |
| (347) 876-5327 | |
| Not Available |
| Full Name | Shining Stars Aba Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 29777 Telegraph Rd, Southfield, Michigan |
| Authorized Official Name and Position | Dror Magori (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7189519043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Stars Aba Corp 29777 Telegraph Rd Southfield MI 48034-1303 Ph: () - | Shining Stars Aba Corp 29777 Telegraph Rd Southfield MI 48034-1303 Ph: (347) 876-5327 |
| NPI Number | 1073336863 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073336863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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