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Organization

ALL STAR ABA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN TYBERG (OPERATING MANAGING PARTNER)
(718) 600-6604
Entity
Organization

Contact information

Practice address
1517 REISTERSTOWN RD, BALTIMORE, MD 21208-4325
(646) 765-5932
Mailing address
1517 REISTERSTOWN RD, BALTIMORE, MD 21208-4325
(646) 765-5932

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
12/21/2022
Last updated
05/30/2025
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