MEDICARE: STARS ABA THERAPY 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1699639245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARS ABA THERAPY LLC

Provider Business Mailing Address
First Line	:	311 BOULEVARD OF AMERICAS STE 205
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3550 E OVERTON RD UNIT 1015-V49
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-3800
Country	:	US
Telephone Number	:	718-913-0370
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	DANIEL BRAFMAN
Credential	:
Telephone Number	:	718-913-0370

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/23/2025

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Directions to “STARS ABA THERAPY LLC ” Practice Location

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