Wellformed AI

NPI 1417854449 · live from the CMS NPI Registry

Aba Total Care Mo, LLC

Behavior Analyst in Pacific, MO. National Provider Identifier 1417854449, active.

NPI record

NPI1417854449 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location410 W Saint Louis St Ste E, Pacific, MO 63069
Practice phone404-400-5004
EnumeratedOctober 22, 2026
Last updatedOctober 22, 2026
Authorized officialRuben Kesherim, President

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.