Active NPI
ABA Total Care Mo, LLC
- Behavior Analyst
- Pacific, MO
National Provider Identifier
1417854449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ABA TOTAL CARE MO, LLC
- Practice address
- 410 W Saint Louis St Ste E
Pacific, MO 63069-1338 - Phone
- (404) 400-5004
- NPI assigned
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruben Kesherim
- Title
- President
- Phone
- (404) 400-5004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
410 W Saint Louis St Ste E
Pacific, MO 63069-1338
Mailing address
410 W Saint Louis St Ste E
Pacific, MO 63069-1338
Phone (404) 400-5004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792627200000",
"number": "1417854449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W SAINT LOUIS ST STE E",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630691338",
"telephone_number": "404-400-5004",
"fax_number": "404-400-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W SAINT LOUIS ST STE E",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630691338",
"telephone_number": "404-400-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABA TOTAL CARE MO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A",
"authorized_official_last_name": "KESHERIM",
"authorized_official_first_name": "RUBEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-400-5004"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.