Organization
ALL STARS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MYTELKA (PARTNER)
(561) 621-0070
Entity
Organization
Contact information
Practice address
7750 OKEECHOBEE BLVD STE 4-418, WEST PALM BEACH, FL 33411-2104
(845) 507-2752
Mailing address
3 E EVERGREEN RD, NEW CITY, NY 10956-5101
(845) 634-1463
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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