Healthcare Provider Details

I. General information

NPI: 1770401804
Provider Name (Legal Business Name): STARLIGHT ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 ROEBLING ST STE 815
BROOKLYN NY
11211-6651
US

IV. Provider business mailing address

320 ROEBLING ST STE 815
BROOKLYN NY
11211-6651
US

V. Phone/Fax

Practice location:
  • Phone: 84-551-3604
  • Fax:
Mailing address:
  • Phone: 347-454-6140
  • 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: RAIZEL LEBOVITS
Title or Position: DIRECTOR
Credential:
Phone: 347-454-6140