Healthcare Provider Details

I. General information

NPI: 1124941539
Provider Name (Legal Business Name): ACHIEVING STARS IOWA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 42ND ST
WEST DES MOINES IA
50266-1005
US

IV. Provider business mailing address

1501 42ND ST
WEST DES MOINES IA
50266-1005
US

V. Phone/Fax

Practice location:
  • Phone: 833-666-3115
  • Fax: 833-666-1401
Mailing address:
  • Phone: 833-666-3115
  • Fax: 833-666-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHIMON MARK FINKELSTEIN
Title or Position: VP
Credential:
Phone: 929-547-6307