NPI Code Details Logo

NPI 1487572269

NPI 1487572269 : STARCHANGER STUDIOS LLC DBA STARCHANGER KIDS : FORT PIERCE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487572269
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    STARCHANGER STUDIOS LLC DBA STARCHANGER KIDS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/08/2026
-----------------------------------------------------
    Last Update Date     |    07/08/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    100 S 2ND ST # 201 
-----------------------------------------------------
    City                 |    FORT PIERCE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34950-4306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    772-306-6477
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    100 S 2ND ST # 201 
-----------------------------------------------------
    City                 |    FORT PIERCE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34950-4306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    772-306-6477
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     KATHARINE  GALLAUGHER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    772-306-6477
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.