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NPI Code Detail

MEDICARE: STARLIGHT ABA TX LLC

MEDICARE: STARLIGHT ABA TX 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1215861091
Entity Type Code : Organization
Provider Name (Legal Business Name) : STARLIGHT ABA TX LLC
Provider Business Mailing Address
First Line : 201 W CALIFORNIA ST FL 2
Second Line :
City : GAINESVILLE
State : TX
Zip : 76240-3904
Country : US
Telephone Number : 347-454-6140
Fax Number :
Provider Business Practice Location Address
First Line : 201 W CALIFORNIA ST FL 2
Second Line :
City : GAINESVILLE
State : TX
Zip : 76240-3904
Country : US
Telephone Number : 347-454-6140
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ABRAHAM TYBERG
Credential :
Telephone Number : 347-454-6140
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “STARLIGHT ABA TX LLC ” Practice Location

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