Healthcare Provider Details
I. General information
NPI: 1629985619
Provider Name (Legal Business Name): STAR ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26 WAYNE ST
MONTVALE NJ
07645-2533
US
IV. Provider business mailing address
26 WAYNE ST
MONTVALE NJ
07645-2533
US
V. Phone/Fax
- Phone: 201-679-6125
- Fax:
- Phone: 201-679-6125
- 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:
JESSICA
PAIGE
LIPPE
Title or Position: OWNER/PRACTITIONER
Credential: M.A., BCBA, LBA
Phone: 201-679-6125