Active NPI
All Star ABA Ia LLC
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1639088693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALL STAR ABA IA LLC
- Practice address
- 1777 Reisterstown Rd Ste 112
Baltimore, MD 21208-1317 - Phone
- (410) 541-1316
- NPI assigned
- Sep 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shawn Tyberg
- Title
- Director
- Phone
- (718) 600-6604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1777 Reisterstown Rd Ste 112
Baltimore, MD 21208-1317
Mailing address
1777 Reisterstown Rd Ste 112
Baltimore, MD 21208-1317
Phone (410) 541-1316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1639088693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 REISTERSTOWN RD STE 112",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212081317",
"telephone_number": "410-541-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 REISTERSTOWN RD STE 112",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212081317",
"telephone_number": "410-541-1316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL STAR ABA IA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "TYBERG",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-600-6604",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- All Eyes Optical
- All Hands Nursing and Health Services, Inc
- All Health Medical Equipment, Inc.
- All in One Counseling Services,LLC
- All Smiles Home Care Agency
- All Star ABA II
- All Star ABA LLC
- All Star ABA NM LLC
- All Together Behavioral Health Solutions LLC
- All Together Behavioral Health Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.