Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shining Stars Applied Behavior Analysis Corp

Organization Community/Behavioral Health Agency · NPI 1346787728

Shining Stars Applied Behavior Analysis Corp is a Community/Behavioral Health Agency in Jacksonville, Florida. Works from 3 locations. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4540 Southside Blvd
Jacksonville, FL 32216-5492
Phone: (904) 755-0646
Fax: (904) 372-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8382 Baymeadows Rd Ste 9, Jacksonville, FL 32256-7436 — (904) 755-0646
  • 1135 Beach Blvd, Jacksonville Beach, FL 32250-3445 — (904) 755-0646

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1346787728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaime Clark — Coo · (904) 755-0646
NPI enumeratedJanuary 24, 2017
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address100 Lora St, Neptune Beach, FL 32266-4939

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