Healthcare Provider Details

I. General information

NPI: 1710773643
Provider Name (Legal Business Name): STARQASIA LINDSAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 LOFTIS BLVD
NEWPORT NEWS VA
23606-2999
US

IV. Provider business mailing address

103 SUNRISE CV APT J
HAMPTON VA
23666-1349
US

V. Phone/Fax

Practice location:
  • Phone: 877-508-3237
  • Fax:
Mailing address:
  • Phone: 757-239-0802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: