Shining Stars ABA Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHINING STARS ABA CORP

Practice address

29777 Telegraph Rd
Southfield, MI 48034-1303

Phone

(347) 876-5327

NPI assigned

Nov 1, 2024

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dror Magori

Title

Credentialing Specialist

Phone

(718) 951-9043

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1073336863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29777 TELEGRAPH RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29777 TELEGRAPH RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341303",
            "telephone_number": "347-876-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STARS ABA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "MAGORI",
        "authorized_official_first_name": "DROR",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "718-951-9043"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Shimonova, M.D.
• Joseph Anthony Shimoun
• Young Hie K Shin, CRNA
• Alexia Shina
• Sanquela Shine
• Rochelle Shipway
• Dhananjay Hanumanth Shirgavi, MD
• Archana Shirishkar, OTR
• Vivek Shirishkar, RPT
• Shirley T Sherrod MD PC

• Behavior Analyst in Southfield, MI
• Providers in Southfield, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.