Organization Active NPI

Brilliant Stars ABA, LLC

  • Behavior Analyst
  • Little Elm, TX
National Provider Identifier
1811556087
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRILLIANT STARS ABA, LLC
Practice address
2301 Leeward PL
Little Elm, TX 75068-6319
Phone
(408) 666-7363
NPI assigned
Jun 11, 2019
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Setareh Dehghani Moslemi, BCBANPI 1538516232
Title
Owner
Phone
(408) 666-7363

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 NU Primary

Addresses

Primary practice location

2301 Leeward PL
Little Elm, TX 75068-6319

Mailing address

2301 Leeward PL
Little Elm, TX 75068-6319

National Provider Directory

National Provider Directory

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": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1811556087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LEEWARD PL",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEEWARD PL",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686319",
            "telephone_number": "408-666-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT STARS ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "MOSLEMI",
        "authorized_official_first_name": "SETAREH",
        "authorized_official_middle_name": "DEHGHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-666-7363",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.