Healthcare Provider Details

I. General information

NPI: 1366287559
Provider Name (Legal Business Name): ACHIEVING STARS CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 E ARAPAHOE RD
CENTENNIAL CO
80112-1266
US

IV. Provider business mailing address

1905 N SHERMAN ST STE 200 #1771
DENVER CO
80203-1132
US

V. Phone/Fax

Practice location:
  • Phone: 833-666-3115
  • Fax:
Mailing address:
  • Phone: 609-455-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MOSHE HIRSCHMAN
Title or Position: MEMBER
Credential:
Phone: 833-666-3115