Healthcare Provider Details

I. General information

NPI: 1780429969
Provider Name (Legal Business Name): GUIDING STARS ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 ALMOND ST STE B
CLERMONT FL
34711-3116
US

IV. Provider business mailing address

310 ALMOND ST STE B
CLERMONT FL
34711-3116
US

V. Phone/Fax

Practice location:
  • Phone: 305-922-1413
  • Fax:
Mailing address:
  • Phone: 305-922-1413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CARLOS M CHAVEZ
Title or Position: CO-OWNER
Credential: M.S., BCBA
Phone: 305-922-1413