Healthcare Provider Details

I. General information

NPI: 1346056017
Provider Name (Legal Business Name): WE ACHIEVE ABA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 W SUGAR CREEK RD
CHARLOTTE NC
28213-6102
US

IV. Provider business mailing address

47 CITADEL DR
JACKSON NJ
08527-1813
US

V. Phone/Fax

Practice location:
  • Phone: 718-419-9545
  • Fax:
Mailing address:
  • Phone: 718-419-9545
  • 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: AARON BERGER
Title or Position: OWNER
Credential:
Phone: 718-419-9545