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NPI Code Detail

MEDICARE: ADRIANNA PAIGE STARK

MEDICARE: ADRIANNA PAIGE STARK
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1295694537
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANNA PAIGE STARK
Provider Business Mailing Address
First Line : 400 E ROYAL LN BLDG 3
Second Line :
City : IRVING
State : TX
Zip : 75039-3540
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 400 E ROYAL LN BLDG 3
Second Line : SUITE 290
City : IRVING
State : TX
Zip : 75039-3540
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ ADRIANNA PAIGE STARK ” Practice Location

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