Healthcare Provider Details

I. General information

NPI: 1265130801
Provider Name (Legal Business Name): FLOURISHING ACHIEVEMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 STONECHASE DR
ENTERPRISE AL
36330-2717
US

IV. Provider business mailing address

302 STONECHASE DR
ENTERPRISE AL
36330-2717
US

V. Phone/Fax

Practice location:
  • Phone: 334-203-4335
  • Fax: 205-255-5300
Mailing address:
  • Phone: 334-203-4335
  • Fax: 205-255-5300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: AMINA WESTMORELAND
Title or Position: OWNER
Credential: BCBA, LBA
Phone: 334-203-4335