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General NPI Number Information
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NPI Number | 1891250361
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Entity Type | Organization
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Legal Business Name | SOARING STARS THERAPY & LEARNING CENTER INC
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 6430 DOBBIN RD STE B
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City | COLUMBIA
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State | MD
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Zip | 21045-4899
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Country | US
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Telephone | 301-968-0597
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Fax | 301-968-0598
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Provider Business Mailing Address
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Address Line | 6430 DOBBIN RD STE B
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City | COLUMBIA
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State | MD
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Zip | 21045-4899
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Country | US
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Telephone | 301-968-0597
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Fax | 301-968-0598
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Authorized Official
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Title or Position | FOUNDER/EXECUTIVE DIRECTOR
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Name | SHARON WILLIAMS-NEWTON
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Credential |
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Telephone | 301-968-0597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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