ABA Supportive Care Mo LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ABA SUPPORTIVE CARE MO LLC

Practice address

218 S Main St FL 2
Joplin, MO 64801-2308

Phone

(317) 936-1240

NPI assigned

Jan 21, 2026

Last updated

Jan 21, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruben Kesherim

Title

Member

Phone

(317) 936-1240

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Treston James Davis

  • Behavior Technician
  • Joplin, MO
  • NPI 1194623645
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1003775313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S MAIN ST FL 2",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012308",
            "fax_number": "317-936-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S MAIN ST FL 2",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012308",
            "telephone_number": "317-936-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA SUPPORTIVE CARE MO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "KESHERIM",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-936-1240"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jene' (Smith) Bradshaw, CCC-SLP
• 32ND Street Surgery Center, LLC
• A Bernard Short DDS PC
• A Meaningful Life, LLC
• ABA Hospice Care Mo 1 LLC
• Dennis Michael Abbott, D.D.S.
• Ehab Abdallah Embaby Abdelgyed, M.B.B.CH
• Leith Abdeljaber
• Ahmad Abdin, M.D.
• Riley Abernathy

• Behavior Analyst in Joplin, MO
• Providers in Joplin, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.