Organization Active NPI

All Stars ABA LLC

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
National Provider Identifier
1487323812
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALL STARS ABA LLC
Practice address
7750 Okeechobee Blvd Ste 4-418
West Palm Beach, FL 33411-2104
Phone
(845) 507-2752
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Jacob Mytelka
Title
Partner
Phone
(561) 621-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7750 Okeechobee Blvd Ste 4-418
West Palm Beach, FL 33411-2104

Mailing address

3 E Evergreen Rd
New City, NY 10956-5101
Phone (845) 634-1463

National Provider Directory

National Provider Directory
Tax ID family
All Stars ABA LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7750 Okeechobee Blvd
Ste 4418
West Palm Beach, FL 33411
Phone (845) 507-2752

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1487323812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E EVERGREEN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565101",
            "telephone_number": "845-634-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 OKEECHOBEE BLVD STE 4-418",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112104",
            "telephone_number": "845-507-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STARS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "MYTELKA",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-621-0070"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.