Evergreen ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EVERGREEN ABA

Practice address

496 Medlock Rd
Decatur, GA 30030-1566

Phone

(229) 733-5565

Fax

(229) 391-1950

NPI assigned

Jul 9, 2025

Organization subpart

No

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

Authorized official

Name

Melanie Ackerman, M.ED., BCBANPI 1083246748

Title

President

Phone

(229) 733-5565

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Raye Ackerman, BCBA

  • Behavior Analyst
  • Decatur, GA
  • NPI 1083246748
  NPD (past) Authorized official

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1710877832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 MEDLOCK RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301566",
            "telephone_number": "229-733-5565",
            "fax_number": "229-391-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 MEDLOCK RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301566",
            "telephone_number": "229-733-5565",
            "fax_number": "229-391-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-733-5565",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@evergreenaba.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "496 Medlock Rd",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300301566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.