Healthcare Provider Details

I. General information

NPI: 1013825991
Provider Name (Legal Business Name): ACHIEVING STARS MS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 LELIA DR STE 405
JACKSON MS
39216-4828
US

IV. Provider business mailing address

1755 LELIA DR STE 405
JACKSON MS
39216-4828
US

V. Phone/Fax

Practice location:
  • Phone: 833-666-3115
  • Fax: 833-666-1401
Mailing address:
  • Phone: 833-666-3115
  • Fax: 833-666-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SHIMON MARK FINKELSTEIN
Title or Position: VP
Credential:
Phone: 929-547-6307