MEDICARE: NEUROSTARS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1184591117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROSTARS LLC

Provider Business Mailing Address
First Line	:	1920 WILLIAMS ST
Second Line	:
City	:	EUREKA
State	:	CA
Zip	:	95501-2932
Country	:	US
Telephone Number	:	707-940-8406
Fax Number	:	707-203-8422

Provider Business Practice Location Address
First Line	:	1920 WILLIAMS ST
Second Line	:
City	:	EUREKA
State	:	CA
Zip	:	95501-2932
Country	:	US
Telephone Number	:	707-940-8406
Fax Number	:	707-203-8422

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	CODY LOUIS JOHNS
Credential	:	M.ED., BCBA
Telephone Number	:	707-940-8406

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	03/23/2026

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Directions to “NEUROSTARS LLC ” Practice Location

Language	Start Address	Practice Location

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