Healthcare Provider Details

I. General information

NPI: 1356251995
Provider Name (Legal Business Name): ACHEIVE MILESTONES ABA MN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 N QUINN ST
BRICELYN MN
56014
US

IV. Provider business mailing address

3106 W NORTH SHORE AVE
CHICAGO IL
60645-4000
US

V. Phone/Fax

Practice location:
  • Phone: 773-619-8378
  • 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

VIII. Authorized Official

Name: HILLEL SHAPIRO
Title or Position: COO
Credential:
Phone: 773-619-8378