Wellformed AI

NPI 1003775313 · live from the CMS NPI Registry

Aba Supportive Care Mo LLC

Behavior Analyst in Joplin, MO. National Provider Identifier 1003775313, active.

NPI record

NPI1003775313 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location218 S Main St Fl 2, Joplin, MO 64801
Practice phone317-936-1240
EnumeratedJanuary 21, 2026
Last updatedJanuary 21, 2026
Authorized officialRuben Kesherim, Member

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.