MEDICARE: SHINING STAR ABA

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1467319061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINING STAR ABA

Provider Business Mailing Address
First Line	:	3972 FIELDSTONE DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-4002
Country	:	US
Telephone Number	:	314-441-0543
Fax Number	:

Provider Business Practice Location Address
First Line	:	3972 FIELDSTONE DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-4002
Country	:	US
Telephone Number	:	314-441-0543
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARNAY MARION MOODY
Credential	:
Telephone Number	:	314-441-0543

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

Similar Medicare Providers

1174488266 — MARNAY MARION MOODY
Practice Location Address:

3972 FIELDSTONE DR
FLORISSANT, MO
63033-4002

Practice Phone: 314-441-0543
Practice Fax:

1427834852 — KENDRA LEARTRICE COBB
Practice Location Address:

725 BABLER DR
FLORISSANT, MO
63031-4002

Practice Phone: 314-435-6979
Practice Fax:

1306703038 — METRO MEDICAL NORTH COUNTY LLC
Practice Location Address:

11115 NEW HALLS FERRY RD STE 105
FLORISSANT, MO
63033-7610

Practice Phone: 314-921-6200
Practice Fax: 314-830-0756

1922008580 — SHARAD P. PARIKH M.D.
Practice Location Address:

11905 W FLORISSANT AVE , SUITE 100
FLORISSANT, MO
63033-6778

Practice Phone: 314-972-0100
Practice Fax: 314-831-7632

1386636009 — DR. KIM L MCDONALD M.D.
Practice Location Address:

4585 WASHINGTON ST , SUITE C4
FLORISSANT, MO
63033-5858

Practice Phone: 314-838-8839
Practice Fax: 314-838-4291

1255324067 — DR. JOSEPH SOKOLOWSKI D.D.S.
Practice Location Address:

2386 N HIGHWAY 67 , SUITE TWO
FLORISSANT, MO
63033-2034

Practice Phone: 314-839-1100
Practice Fax: 314-839-8381

Directions to “SHINING STAR ABA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.