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General NPI Number Information
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NPI Number | 1770490310
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Entity Type | Organization
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Legal Business Name | STARLIGHT ABA MS LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 4780 I 55 N
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City | JACKSON
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State | MS
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Zip | 39211-5542
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Country | US
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Telephone | 877-888-8740
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Fax |
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Provider Business Mailing Address
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Address Line | 4780 I 55 N STE 100
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City | JACKSON
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State | MS
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Zip | 39211-5583
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Country | US
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Telephone | 877-888-8740
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RAIZEL LEBOVITS
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Credential |
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Telephone | 877-888-8740
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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 | NULL
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