Healthcare Provider Details

I. General information

NPI: 1245147420
Provider Name (Legal Business Name): ATLASCARE ABA MS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 E CAPITOL ST
JACKSON MS
39201-3405
US

IV. Provider business mailing address

317 E CAPITOL ST
JACKSON MS
39201-3405
US

V. Phone/Fax

Practice location:
  • Phone: 515-902-1213
  • Fax:
Mailing address:
  • Phone: 515-902-1213
  • 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: JACOB STERN
Title or Position: COO
Credential:
Phone: 515-902-1213