Wellformed AI

NPI 1083246748 · live from the CMS NPI Registry

Melanie Raye Ackerman, BCBA

Behavior Analyst in Decatur, GA. National Provider Identifier 1083246748, active.

NPI record

NPI1083246748 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location496 Medlock Rd, Decatur, GA 30030
Practice phone229-733-5565
EnumeratedFebruary 10, 2020
Last updatedJune 18, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-20-40593 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.