Organization Active NPI

Atlascare ABA Ia LLC

  • Behavior Analyst
  • West Des Moines, IA
National Provider Identifier
1104718444
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ATLASCARE ABA IA LLC
Practice address
1501 42ND St Ste 440
West Des Moines, IA 50266-1005
Phone
(704) 368-0450
Fax
(855) 770-4748
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Jacob Stern
Title
Coo
Phone
(347) 768-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1501 42ND St Ste 440
West Des Moines, IA 50266-1005

Mailing address

1400 Hooper Ave Ste 2
Toms River, NJ 08753-2981
Phone (704) 368-0450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1104718444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HOOPER AVE STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532981",
            "telephone_number": "704-368-0450",
            "fax_number": "855-770-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 42ND ST STE 440",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661005",
            "telephone_number": "704-368-0450",
            "fax_number": "855-770-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLASCARE ABA IA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-20",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "347-768-4480"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.