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Organization
SHAPING STARS LLC
Active
Organization
SHAPING STARS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA OLIVARES VARGAS (BCBA/ OWNER)
(954) 559-3759
Entity
Organization
Contact information
Practice address
11296 SW 17TH CT, MIRAMAR, FL 33025-6601
(954) 559-3759
Mailing address
11296 SW 17TH CT, MIRAMAR, FL 33025-6601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346882370
—
FL
Enumeration date
01/12/2021
Last updated
01/12/2021
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