Intellistars Therapy

Behavior Analyst · Riverdale, GA

Organization Active NPI

NPI number 1790355618

Practice location

275 Upper Riverdale Rd Ste D
Riverdale, GA 30274-2556
Phone
(248) 770-3658

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NPI record

NPI
1790355618
Entity type
Organization (Type 2)
Enumeration date
July 1, 2021
Last updated
December 10, 2025
Certified
December 10, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Adult Development & Aging Psychologist 103TA0700X — —

Mailing address

13 Shenandoah Dr
Lakewood, NJ 08701-4979
Phone
(248) 770-3658

Authorized official

Name
Miriam Greenwald
Title
Director
Phone
(248) 770-3658

Other practice locations (1)

  • 13 Shenandoah Dr, Lakewood, NJ 08701-4979 · (248) 770-3658

About Intellistars Therapy

Intellistars Therapy is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 275 Upper Riverdale Rd Ste D, Riverdale, GA 30274-2556. The NPI number 1790355618 was assigned on July 1, 2021 and the record was last updated on December 10, 2025.

The authorized official for this organization is Miriam Greenwald, Director.

Frequently asked questions

What is the NPI number of Intellistars Therapy?

The NPI number is 1790355618.

What is the phone number of Intellistars Therapy?

The phone number listed for the practice location is (248) 770-3658.

Where is Intellistars Therapy located?

275 Upper Riverdale Rd Ste D, Riverdale, GA 30274-2556.

What is the taxonomy code for Intellistars Therapy?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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