Healthcare Provider Details

I. General information

NPI: 1821767971
Provider Name (Legal Business Name): STAR FUTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2021
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6785 SIERRA CT STE A
DUBLIN CA
94568-2664
US

IV. Provider business mailing address

6785 SIERRA CT STE A
DUBLIN CA
94568-2664
US

V. Phone/Fax

Practice location:
  • Phone: 619-919-9485
  • Fax: 925-660-0084
Mailing address:
  • Phone: 619-919-9485
  • Fax: 925-660-0084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. YINKUI ZHOU
Title or Position: CEO
Credential:
Phone: 408-963-7910