Provider Demographics
NPI:1760288732
Name:ASTRO ABA KS
Entity type:Organization
Organization Name:ASTRO ABA KS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STIMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-521-6855
Mailing Address - Street 1:777 CHESTNUT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6222
Mailing Address - Country:US
Mailing Address - Phone:845-521-6855
Mailing Address - Fax:
Practice Address - Street 1:7300 W 110TH ST STE 700
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2332
Practice Address - Country:US
Practice Address - Phone:845-521-6855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty