| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARYLOU STARR | 1922663590 | 2021-10-10 |
Marylou Starr is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922663590. Registration indicates Marylou Starr is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Marylou Starr BCBA |
| Practice Office Address | 1100 W TOWN AND COUNTRY RD STE 1250 ORANGE, CA US |
| Practice Office Telephone | 8446697827 |
| Mailing Address | 1100 W TOWN AND COUNTRY RD STE 1250 ORANGE, CA 928684633 US |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers | 1-21-54000
CA |