Organization Active NPI

Achieve Ga LLC

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1104639905
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACHIEVE GA LLC
Practice address
1201 W Peachtree St NW Ste 2003
Atlanta, GA 30309-3453
Phone
(732) 886-8113
NPI assigned
Jan 28, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Malka Nussbaum, MS
Title
Bcba
Phone
(732) 886-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1201 W Peachtree St NW Ste 2003
Atlanta, GA 30309-3453

Mailing address

126 Melville Ave
Lakewood, NJ 08701-4235
Phone (732) 886-8113

National Provider Directory

National Provider Directory

Locations

1201 W Peachtree St NW
Ste 2003
Atlanta, GA 30309
Phone (732) 886-8113

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1104639905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MELVILLE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014235",
            "telephone_number": "732-886-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W PEACHTREE ST NW STE 2003",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093453",
            "telephone_number": "732-886-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MALKA",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "732-886-8113",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.