Organization
SHINNING STARS THERAPY PLLC
Active
Organization
SHINNING STARS THERAPY PLLC
Active
Other names
TIBS for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
RUCHI NAGRECHA MPT (PT)
(540) 431-0123
Entity
Organization
Contact information
Practice address
4100 LAFAYETTE CENTER DR, CHANTILLY, VA 20151-1233
(540) 431-0123
Mailing address
25669 TREMAINE TER, CHANTILLY, VA 20152-6303
(540) 431-0123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
224Z00000X
Occupational Therapy Assistant
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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