Healthcare Provider Details

I. General information

NPI: 1558106765
Provider Name (Legal Business Name): ACHIEVING STARS NH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 FOUNDRY ST FL 2
CONCORD NH
03301-5419
US

IV. Provider business mailing address

1133 SAGE ST
FAR ROCKAWAY NY
11691-4820
US

V. Phone/Fax

Practice location:
  • Phone: 833-666-3115
  • Fax:
Mailing address:
  • Phone: 516-474-1101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MOSHE HIRSCHMAN
Title or Position: MEMBER
Credential:
Phone: 833-666-3115