Healthcare Provider Details
I. General information
NPI: 1497662399
Provider Name (Legal Business Name): STARLIGHT ABA DC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5335 WISCONSIN AVE NW STE 440
WASHINGTON DC
20015-2079
US
IV. Provider business mailing address
5335 WISCONSIN AVE NW STE 440
WASHINGTON DC
20015-2079
US
V. Phone/Fax
- Phone: 877-888-8740
- Fax:
- Phone: 877-888-8740
- 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:
RAIZEL
LEBOVITS
Title or Position: DIRECTOR
Credential:
Phone: 877-888-8740