Healthcare Provider Details
I. General information
NPI: 1811529720
Provider Name (Legal Business Name): ACHIEVEMENT PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2020
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1372 HARRISBURG PIKE
LANCASTER PA
17601-2613
US
IV. Provider business mailing address
1372 HARRISBURG PIKE
LANCASTER PA
17601-2613
US
V. Phone/Fax
- Phone: 717-723-9765
- Fax:
- Phone: 717-723-9765
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIANNA
BRIM
Title or Position: DIRECTOR
Credential: BCBA
Phone: 717-723-9765