NPI 1649988932 · live from the CMS NPI Registry
Ahava Nutrition LLC
Dietitian, Registered in Waltham, MA. National Provider Identifier 1649988932, active.
NPI record
| NPI | 1649988932 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 419 Moody St. Suite 1, Waltham, MA 02453 |
| Practice phone | 617-396-7349 |
| Mailing address | 405 Waltham St Ste 317, Lexington, MA 02421 |
| Enumerated | November 7, 2022 |
| Last updated | July 5, 2025 |
| Authorized official | Stephanie Haber, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.