Healthcare Provider Details

I. General information

NPI: 1225998735
Provider Name (Legal Business Name): ACHIEVE THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 LAKEWOOD RD
TOMS RIVER NJ
08755-1671
US

IV. Provider business mailing address

1815 LAKEWOOD RD
TOMS RIVER NJ
08755-1671
US

V. Phone/Fax

Practice location:
  • Phone: 646-401-3137
  • Fax:
Mailing address:
  • Phone: 646-401-3137
  • 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
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YISROEL TABI
Title or Position: MANAGING MEMBER
Credential:
Phone: 646-401-3137