MEDICARE: BIG DREAMERS ABA GA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1629819982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG DREAMERS ABA GA

Provider Business Mailing Address
First Line	:	7507 ROSWELL RD STE 1068
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-8500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 HAMMOND DR BLDG 16-300
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-6136
Country	:	US
Telephone Number	:	917-623-3258
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ZALMAN JOSEPH LIEBERMAN
Credential	:
Telephone Number	:	917-623-3258

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	12/11/2025

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