Achieve NC LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ACHIEVE NC LLC

Practice address

126 Melville Avenue
Lakewood, NJ 08701-4235

Phone

(732) 886-8113

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Malkie Nussbaum

Title

Owner

Phone

(908) 910-2924

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1760224992",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MELVILLE AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014235",
            "telephone_number": "732-886-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MALKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-910-2924"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lakewood, NJ
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.