Autism Stars ABA Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AUTISM STARS ABA INC

Practice address

102 Park Place Blvd Ste C1
Kissimmee, FL 34741-2358

Phone

(305) 323-0493

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Tyler Neblett

Title

President

Phone

(305) 323-0493

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1114790409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8378 LUDINGTON CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365910",
            "telephone_number": "305-323-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK PLACE BLVD STE C1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412358",
            "telephone_number": "305-323-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM STARS ABA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "NEBLETT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-323-0493"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Denise Austin, ARPN
• Stacie D Austin, RDN LD
• Australian Grayling Surgical Specialists LLC
• Australian Grayling Surgical Specialists LLC
• Jennifer Lisa Autenrieth, M.A. CCC-SLP
• Yanelis Avalos Cardenas
• Sarah Avans, PHARMD
• Avant Dental Group LLC
• Tiana-Marie Krystal Avendano Forero
• Averon Health LLC

• Behavior Analyst in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.