Healthcare Provider Details

I. General information

NPI: 1518877976
Provider Name (Legal Business Name): ACHIEVE BETTER ABA THERAPY MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PUBLIC SQUARE SUITE 301
HAGERSTOWN MD
21740
US

IV. Provider business mailing address

18 COX CRO RD STE 108
TOMS RIVER NJ
08755-0951
US

V. Phone/Fax

Practice location:
  • Phone: 855-544-0298
  • Fax: 252-380-9848
Mailing address:
  • Phone: 855-544-0298
  • Fax: 252-380-9848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: NECHAMA BRUCKENSTEIN
Title or Position: CEO
Credential:
Phone: 855-544-0298