| Tiny Shooting Stars Inc. | |
|
110 Front Street Suite 300 Jupiter FL 33477 | |
| (786) 306-8419 | |
| Not Available |
| Full Name | Tiny Shooting Stars Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 110 Front Street Suite 300, Jupiter, Florida |
| Authorized Official Name and Position | Oyola Caridad Abad Delgado (PRESIDENT / LEAD ANALYST) |
| Authorized Official Contact | 5612987060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiny Shooting Stars Inc. 416 Cypress Ln Palm Springs FL 33461-1508 Ph: (786) 306-8419 | Tiny Shooting Stars Inc. 110 Front Street Suite 300 Jupiter FL 33477 Ph: (786) 306-8419 |
| NPI Number | 1134790496 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 08/22/2021 |
| Certification Date | 08/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134790496 | NPI | - | NPPES |
| 1-20-46322 | Other | BACB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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