Healthcare Provider Details

I. General information

NPI: 1215803267
Provider Name (Legal Business Name): ABA GOLDEN STEPS IA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6165 NW 86TH ST FL 1 & 2
JOHNSTON IA
50131-2240
US

IV. Provider business mailing address

6165 NW 86TH ST FL 12
JOHNSTON IA
50131-2240
US

V. Phone/Fax

Practice location:
  • Phone: 888-517-8377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MARK WOLMARK
Title or Position: CEO
Credential:
Phone: 678-894-1116