MEDICARE: SOARING STARS THERAPY & LEARNING CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	252Y00000X	Early Intervention Provider Agency
4	385H00000X	Respite Care
5	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1891250361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOARING STARS THERAPY & LEARNING CENTER INC

Provider Business Mailing Address
First Line	:	6430 DOBBIN RD STE B
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-4899
Country	:	US
Telephone Number	:	301-968-0597
Fax Number	:	301-968-0598

Provider Business Practice Location Address
First Line	:	6430 DOBBIN RD STE B
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-4899
Country	:	US
Telephone Number	:	301-968-0597
Fax Number	:	301-968-0598

Authorized Official
Title or Position	:	FOUNDER/EXECUTIVE DIRECTOR
Name	:	SHARON WILLIAMS-NEWTON
Credential	:
Telephone Number	:	301-968-0597

Provider Enumeration Date	:	02/08/2019
Last Update Date	:	02/15/2023

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