| Starlight Autism Center | |
|
16730 Lee St Orland Park IL 60467-8709 | |
| (708) 275-6104 | |
| Not Available |
| Full Name | Starlight Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16730 Lee St, Orland Park, Illinois |
| Authorized Official Name and Position | Noha Hasan (CEO) |
| Authorized Official Contact | 7082756104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Autism Center 16730 Lee St Orland Park IL 60467-8709 Ph: (708) 275-6104 | Starlight Autism Center 16730 Lee St Orland Park IL 60467-8709 Ph: (708) 275-6104 |
| NPI Number | 1780423038 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780423038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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