Starlight Autism Therapy PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

STARLIGHT AUTISM THERAPY PLLC

Practice address

197 Yuma LN
Carol Stream, IL 60188-1979

Phone

(815) 710-8734

NPI assigned

Dec 21, 2021

Organization subpart

No

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

Authorized official

Name

Sarah O Shams, BCBA

Title

Administrator

Phone

(815) 710-8734

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sakina Khan

  • Speech-Language Pathologist
  • Addison, TX
  • NPI 1801605043
  NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1861152662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 YUMA LN",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 YUMA LN",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881979",
            "telephone_number": "815-710-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT AUTISM THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "SHAMS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-710-8734",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sobel, RPH
• Caroline M Sobon, PT
• Alison A Solano
• Space Boots (Lifestream Counseling Center)
• Ryan Starks, OTR/L
• Taylor Stazzone, MOT, OTR/L
• Erin Rose Stella, PT, DPT, CSCS
• Danielle Kathleen Stimmell
• Sara Ruth Stoy, RN
• Suburban Medical Group Corp

• Behavior Analyst in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.