Organization
SHINING STARS APPLIED BEHAVIOR ANALYSIS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME CLARK (COO)
(904) 755-0646
Entity
Organization
Contact information
Practice address
4540 SOUTHSIDE BLVD, JACKSONVILLE, FL 32216-5492
(904) 755-0646
(904) 372-7620
Mailing address
100 LORA ST, NEPTUNE BEACH, FL 32266-4939
(904) 755-0646
(904) 372-7620
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
04/13/2026
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