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Organization
STAR THERAPEUTICS LLC
Active
Organization
STAR THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAKOV MERLING (DIRECTOR)
(848) 210-3920
Entity
Organization
Contact information
Practice address
2954 W PRATT BLVD, CHICAGO, IL 60645-4219
(848) 210-3920
Mailing address
41 CARASALJO DR, LAKEWOOD, NJ 08701-2309
(848) 210-3920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
225X00000X
Occupational Therapist
0154491
NY
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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