NPI 1104639905 · live from the CMS NPI Registry
Achieve Ga LLC
Behavior Analyst in Atlanta, GA. National Provider Identifier 1104639905, active.
NPI record
| NPI | 1104639905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1201 W Peachtree St Nw Ste 2003, Atlanta, GA 30309 |
| Practice phone | 732-886-8113 |
| Mailing address | 126 Melville Ave, Lakewood, NJ 08701 |
| Enumerated | January 28, 2025 |
| Last updated | January 28, 2025 |
| Authorized official | Malka Nussbaum, Bcba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.