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SHINING STARS APPLIED BEHAVIOR ANALYSIS CORP.
NPI 1346787728
Community/Behavioral Health in Jacksonville, FL

Active since January 24, 2017
4540 SOUTHSIDE BLVD, JACKSONVILLE, FL 32216(904) 755-0646(904) 372-7620 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, Jan 24, 2017 (2 updates tracked since 2017).

About Shining Stars Applied Behavior Analysis Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINING STARS APPLIED BEHAVIOR ANALYSIS CORP. (NPI 1346787728) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since January 2017. The organization maintains 2 additional practice locations and lists Jaime Clark, Coo, as its authorized official.

NPPES Registry Identity

NPI1346787728
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSHINING STARS APPLIED BEHAVIOR ANALYSIS CORP.
Location Address4540 SOUTHSIDE BLVDJacksonville, FL 32216-5492
Mailing Address100 Lora StNeptune Beach, FL 32266-4939 · (904) 755-0646 · Fax (904) 372-7620
Phone(904) 755-0646
Fax(904) 372-7620
Organization SubpartNo
Authorized OfficialJaime ClarkCoo · (904) 755-0646
Enumeration DateJanuary 24, 2017
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1346787728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4540 SOUTHSIDE BLVD, Jacksonville, FL 32216
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Secondary Practice Locations 2

Location 18382 Baymeadows Rd Ste 9Jacksonville, FL 32256-7436 · Phone (904) 755-0646 · Fax (904) 372-7620
Location 21135 Beach BlvdJacksonville Beach, FL 32250-3445 · Phone (904) 755-0646 · Fax (904) 352-7620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STEPHANIE K HUMPHRIES L.M.E.
Specialist
4540 SOUTHSIDE BLVD, SUITE 701
JACKSONVILLE, FL 32216
Duval County (904) 472-5563
ADVANCED DENTAL CARE OF JACKSONVILLE PA
Dentist
4540 SOUTHSIDE BLVD, 1001
JACKSONVILLE, FL 32216
Duval County (904) 725-4433
AMANDO DENTAL CORPORATION
Preferred Provider Organization
4540 SOUTHSIDE BLVD, SUITE 801
JACKSONVILLE, FL 32216
Duval County (904) 642-2010
TOTAL BODY AESTHETICS, INC.
Specialist
4540 SOUTHSIDE BLVD, SUITE 701
JACKSONVILLE, FL 32216
Duval County (904) 472-5563
JENNIFER M REAVES LMT
Massage Therapist
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 296-9545
MRS. LYNN H POWELL LMHC, CTRS
Counselor (Professional)
4540 SOUTHSIDE BLVD, SUITE 401
JACKSONVILLE, FL 32216
Duval County (904) 566-9256
DR. BROCK PHILIPS DMD
Dentist (General Practice)
4540 SOUTHSIDE BLVD, SUITE 801
JACKSONVILLE, FL 32216
Duval County (904) 642-2010
MEDICUSSX SPINE & JOINT, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Duval County (904) 503-1065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shining Stars Applied Behavior Analysis Corp.'s NPI number?

The NPI number for Shining Stars Applied Behavior Analysis Corp. is 1346787728. It was assigned to this organization in the NPPES registry on January 24, 2017.

Where is Shining Stars Applied Behavior Analysis Corp. located?

Shining Stars Applied Behavior Analysis Corp. is located at 4540 Southside Blvd, Jacksonville, FL 32216. The listed phone number is (904) 755-0646.

What is Shining Stars Applied Behavior Analysis Corp.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Shining Stars Applied Behavior Analysis Corp. accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Shining Stars Applied Behavior Analysis Corp. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shining Stars Applied Behavior Analysis Corp. was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.