Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supportive Care ABA Nc LLC

Organization Behavior Analyst · NPI 1457060071

Supportive Care ABA Nc LLC is a Behavior Analyst in Wake Forest, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 S White St Ste 150
Wake Forest, NC 27587-2773
Phone: (317) 936-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1457060071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruben Kesherim — Member · (317) 936-1240
NPI enumeratedNovember 22, 2022
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address104 S White St Ste 150, Wake Forest, NC 27587-2773

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