Healthcare Provider Details
I. General information
NPI: 1407783715
Provider Name (Legal Business Name): STARLIGHT ABA CO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2590 WELTON ST
DENVER CO
80205-3300
US
IV. Provider business mailing address
2590 WELTON ST STE 200
DENVER CO
80205-4268
US
V. Phone/Fax
- Phone: 720-649-5775
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABRAHAM
TYBERG
Title or Position: CFO
Credential:
Phone: 585-270-4794