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NPI 1215861091

NPI 1215861091 : STARLIGHT ABA TX LLC : GAINESVILLE, TX

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General NPI Number Information
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    NPI Number           |    1215861091
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    Entity Type          |    Organization 
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    Legal Business Name  |    STARLIGHT ABA TX LLC 
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Dates
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    Enumeration Date     |    06/09/2026
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    Last Update Date     |    06/09/2026
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Provider Practice Location Address
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    Address Line         |    201 W CALIFORNIA ST FL 2 
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    City                 |    GAINESVILLE
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    State                |    TX
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    Zip                  |    76240-3904
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    Country              |    US
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    Telephone            |    347-454-6140
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    201 W CALIFORNIA ST FL 2 
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    City                 |    GAINESVILLE
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    State                |    TX
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    Zip                  |    76240-3904
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    Country              |    US
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    Telephone            |    347-454-6140
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     ABRAHAM  TYBERG 
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    Credential           |    
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    Telephone            |    347-454-6140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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