MEDICARE: WE-ACHIEVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1578385530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE-ACHIEVE

Provider Business Mailing Address
First Line	:	47 CITADEL DR
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-1813
Country	:	US
Telephone Number	:	718-419-9545
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 S WESTERN AVE UNIT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4644
Country	:	US
Telephone Number	:	718-419-9545
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. AARON BERGER
Credential	:	BCBA
Telephone Number	:	718-419-9545

Provider Enumeration Date	:	10/30/2024
Last Update Date	:	11/13/2024

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Directions to “WE-ACHIEVE ” Practice Location

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