NPI 1104718006 · live from the CMS NPI Registry
Atlascare Aba Nc LLC
Community/Behavioral Health in Charlotte, NC. National Provider Identifier 1104718006, active.
NPI record
| NPI | 1104718006 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 525 N Tryon St Ste 1600, Charlotte, NC 28202 |
| Practice phone | 845-596-4232 |
| Mailing address | 1400 Hooper Ave Ste 2, Toms River, NJ 08753 |
| Enumerated | July 16, 2025 |
| Last updated | July 20, 2025 |
| Authorized official | Jacob Stern, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.