Healthcare Provider Details

I. General information

NPI: 1528905098
Provider Name (Legal Business Name): ASTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4231 LATONA AVE NE
SEATTLE WA
98105-6541
US

IV. Provider business mailing address

277 SCARBOROUGH LN
MIDDLETOWN CT
06457-7546
US

V. Phone/Fax

Practice location:
  • Phone: 860-995-8202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL COBURN
Title or Position: CEO
Credential:
Phone: 860-995-8202