MEDICARE: CLIMBING STAR MD INC

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	:	1558176297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLIMBING STAR MD INC

Provider Business Mailing Address
First Line	:	250 SKILLMAN ST STE 403
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-1292
Country	:	US
Telephone Number	:	347-263-1585
Fax Number	:

Provider Business Practice Location Address
First Line	:	6865 DEERPATH RD STE 101
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-6255
Country	:	US
Telephone Number	:	800-425-7178
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOEL FLEISCHMAN
Credential	:
Telephone Number	:	800-425-7178

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	02/10/2025

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Directions to “CLIMBING STAR MD INC ” Practice Location

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