Organization Active NPI

Stars to Success, LLC

  • Behavior Analyst
  • Cambridge, MA
National Provider Identifier
1538774088
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
STARS TO SUCCESS, LLC
Practice address
125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392
Phone
(857) 919-4493
NPI assigned
Sep 11, 2020
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Phong Pham, BCBA, LABANPI 1235546979
Title
Founder
Phone
(857) 919-4493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392

Mailing address

125 Cambridgepark Dr Ste 301
Cambridge, MA 02140-2392

Other practice location 1

50 Paul Revere Rd
Lexington, MA 02421-6635
Phone (857) 919-4493

National Provider Directory

National Provider Directory

Locations

125 Cambridgepark Dr
Ste 301
Cambridge, MA 02140
Phone (617) 300-0728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1538774088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CAMBRIDGEPARK DR STE 301",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CAMBRIDGEPARK DR STE 301",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402392",
            "telephone_number": "857-919-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Paul Revere Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MA",
            "postal_code": "024216635",
            "country_code": "US",
            "telephone_number": "857-919-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STARS TO SUCCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHONG",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "857-919-4493",
        "authorized_official_credential": "BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.