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NPI Code Detail

MEDICARE: JASON STARR

MEDICARE: JASON STARR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1174066195
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON STARR
Provider Business Mailing Address
First Line : 881 PARKVIEW BLVD
Second Line :
City : LOMBARD
State : IL
Zip : 60148-3230
Country : US
Telephone Number : 844-263-1613
Fax Number :
Provider Business Practice Location Address
First Line : 881 PARKVIEW BLVD
Second Line :
City : LOMBARD
State : IL
Zip : 60148-3230
Country : US
Telephone Number : 844-263-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 02/16/2026

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Directions to “ JASON STARR ” Practice Location

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