MEDICARE: EVOVLE ABA CARE CORP

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	:	1992697858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOVLE ABA CARE CORP

Provider Business Mailing Address
First Line	:	1500 SOUTHLAND CIR NW STE H
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-3669
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 SOUTHLAND CIR NW STE H
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-3669
Country	:	US
Telephone Number	:	678-904-9775
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	LAZER BERGER
Credential	:
Telephone Number	:	347-786-1504

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	08/12/2025

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Directions to “EVOVLE ABA CARE CORP ” Practice Location

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