Star Autism Support

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

STAR AUTISM SUPPORT

Practice address

9915 SW Arctic Dr
Beaverton, OR 97005-4194

Phone

(503) 297-2864

Fax

(503) 292-4173

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Kara Magee-Arick, BCBA

Title

Educational Consultant

Phone

(503) 297-2864

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1972993475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6663 SW BEAVERTON HILLSDALE HWY",
            "address_2": "BOX 119",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251403",
            "telephone_number": "503-297-2864",
            "fax_number": "503-292-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 SW ARCTIC DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054194",
            "telephone_number": "503-297-2864",
            "fax_number": "503-292-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR AUTISM SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "MAGEE-ARICK",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "EDUCATIONAL CONSULTANT",
        "authorized_official_telephone_number": "503-297-2864",
        "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": []
}

• Valli Evenstar Stager, APRN-BC
• Sheila Stahl Butler, PT
• Ann Marie Stanek, M.D.
• Dawn Marie Stanek, M.D.
• Jennifer Stanislaw
• Stargait Portland Physical Therapy, LLC
• Lori Beth Stargrove, N.D.
• Mitchell Bebel Stargrove, N.D., L.AC.
• Nickolas Stark, BCABA
• Starlight ABA Or LLC

• All providers in Beaverton, OR
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.