Shining Star Licensed Behavior Analyst PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHINING STAR LICENSED BEHAVIOR ANALYST PLLC

Practice address

4819 14TH Ave
Brooklyn, NY 11219-3166

Phone

(718) 298-3695

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Abraham Weiss

Title

Director

Phone

(718) 298-3695

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1487352373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193166",
            "telephone_number": "718-298-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193166",
            "telephone_number": "718-298-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR LICENSED BEHAVIOR ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-298-3695"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Rachel Shine-Franco
• Mark Shine
• Shining Bright Home Care LLC
• Shining Leaf Ipa, LLC
• Shining Star Home Care, LLC. (Shining Star Home Health Care, LLC.)
• Shining Tiny Stars LLC
• Kseniya Shinkevich
• Thomas Eldon Shipp III, RN
• Shira Burnstein M.D. PLLC
• Samantha Lee Shira, MD

• Behavior Analyst in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.