Healthcare Provider Details
I. General information
NPI: 1982526331
Provider Name (Legal Business Name): ACHIEVE ABA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12600 GREY EAGLE CT APT 13
GERMANTOWN MD
20874-5301
US
IV. Provider business mailing address
12600 GREY EAGLE CT APT 13
GERMANTOWN MD
20874-5301
US
V. Phone/Fax
- Phone: 240-694-8377
- Fax:
- Phone: 240-694-8377
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
HORSEY
Title or Position: OWNER
Credential:
Phone: 240-694-8377