Healthcare Provider Details

I. General information

NPI: 1407724958
Provider Name (Legal Business Name): ABLE STARS ABA MO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N STADIUM BLVD STE 200
COLUMBIA MO
65203-1429
US

IV. Provider business mailing address

303 N STADIUM BLVD STE 200
COLUMBIA MO
65203-1429
US

V. Phone/Fax

Practice location:
  • Phone: 816-579-6006
  • Fax:
Mailing address:
  • Phone: 816-579-6006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL KALLNER
Title or Position: MANAGING MEMBER
Credential:
Phone: 816-579-6006