Atlantic Behavioral Health LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ATLANTIC BEHAVIORAL HEALTH LLC

Practice address

11555 Lake Underhill Rd
Orlando, FL 32825-5001

Phone

(630) 631-9623

Fax

(630) 290-0522

NPI assigned

Jul 21, 2025

Last updated

Feb 5, 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

Miss Shaden Kassar, BCBANPI 1548632383

Title

Bcba

Phone

(630) 631-9623

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.

• Shaden Kassar

  • Behavior Analyst
  • Burr Ridge, IL
  • NPI 1548632383
  Authorized official Same address or phone

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1295617363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 KRAML DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270303",
            "telephone_number": "630-631-9623",
            "fax_number": "630-290-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255001",
            "telephone_number": "630-631-9623",
            "fax_number": "630-290-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "KASSAR",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "630-631-9623",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.