Organization
STARLIGHT AUTISM THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH O SHAMS BCBA (ADMINISTRATOR)
(815) 710-8734
Entity
Organization
Contact information
Practice address
197 YUMA LN, CAROL STREAM, IL 60188-1979
(815) 710-8734
Mailing address
197 YUMA LN, CAROL STREAM, IL 60188-1979
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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