Organization Active NPI

Starlight Behavior Analysis and Therapy LLC

  • Behavior Analyst
  • Tucker, GA
National Provider Identifier
1871361980
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
STARLIGHT BEHAVIOR ANALYSIS AND THERAPY LLC
Practice address
117 Lankford Rd
Tucker, GA 30084-1823
Phone
(404) 374-9386
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Mrs. Jingyao Martha Xu, BCBANPI 1578285458
Title
Owner
Phone
(404) 374-9386

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

117 Lankford Rd
Tucker, GA 30084-1823

Mailing address

117 Lankford Rd
Tucker, GA 30084-1823
Phone (404) 374-9386

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1871361980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LANKFORD RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841823",
            "telephone_number": "404-374-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LANKFORD RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841823",
            "telephone_number": "404-374-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT BEHAVIOR ANALYSIS AND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "JINGYAO",
        "authorized_official_middle_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-374-9386",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.