Shaping Stars LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHAPING STARS LLC

Practice address

11296 SW 17TH CT
Miramar, FL 33025-6601

Phone

(954) 559-3759

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Andrea Olivares VargasNPI 1346882370

Title

Bcba/ Owner

Phone

(954) 559-3759

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Olivares Vargas

  • Behavior Analyst
  • Jupiter, FL
  • NPI 1346882370
  NPD Authorized official

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1639768997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11296 SW 17TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11296 SW 17TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256601",
            "telephone_number": "954-559-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING STARS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "OLIVARES VARGAS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BCBA/ OWNER",
        "authorized_official_telephone_number": "954-559-3759"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346882370",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shapinstarsllc@gmail.com",
            "affiliation": "N",
            "address_1": "11296 SW 17th Ct",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330256601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariam Shaker
• Rohma Shamsi, M.D.
• Shanban LLC
• Shantelle Moxie, LLC
• Shaping Horizons, Inc.
• Jessica Sharif, BT
• Isaac Bernard Shaw, M.D.
• Mureen Leonie Shaw, ARNP
• Zarish Haroon Shaw
• Ronda Sheffield

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.