Healthcare Provider Details

I. General information

NPI: 1700761269
Provider Name (Legal Business Name): ACHIEVE BETTER ABA THERAPY MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PUBLIC SQ STE 301
HAGERSTOWN MD
21740-5597
US

IV. Provider business mailing address

18 COX CRO RD SUITE 108
TOMS RIVER NJ
08755
US

V. Phone/Fax

Practice location:
  • Phone: 855-544-0298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NECHAMA BRUCKENSTEIN
Title or Position: CEO
Credential:
Phone: 732-773-9295