Provider Demographics
NPI:1649569047
Name:STAR CENTER FOUNDATION
Entity Type:Organization
Organization Name:STAR CENTER FOUNDATION
Other - Org Name:STAR INSTITUTE FOR SENSORY PROCESSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:K
Authorized Official - Last Name:STOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-865-7652
Mailing Address - Street 1:6911 S YOSEMITE ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1426
Mailing Address - Country:US
Mailing Address - Phone:303-865-7652
Mailing Address - Fax:303-322-5550
Practice Address - Street 1:6911 S YOSEMITE ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1426
Practice Address - Country:US
Practice Address - Phone:303-865-7652
Practice Address - Fax:303-322-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty