Evergreen ABA

Behavior Analyst · Decatur, GA

Organization Active NPI

NPI number 1710877832

Practice location

496 Medlock Rd
Decatur, GA 30030-1566
Phone
(229) 733-5565
Fax
(229) 391-1950

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NPI record

NPI
1710877832
Entity type
Organization (Type 2)
Enumeration date
July 9, 2025
Last updated
June 18, 2026
Certified
June 18, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Melanie Ackerman, M.ED., BCBA
Title
President
Phone
(229) 733-5565

About Evergreen ABA

Evergreen ABA is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 496 Medlock Rd, Decatur, GA 30030-1566. The NPI number 1710877832 was assigned on July 9, 2025 and the record was last updated on June 18, 2026.

The authorized official for this organization is Melanie Ackerman, M.ED., BCBA, President.

Frequently asked questions

What is the NPI number of Evergreen ABA?

The NPI number is 1710877832.

What is the phone number of Evergreen ABA?

The phone number listed for the practice location is (229) 733-5565.

Where is Evergreen ABA located?

496 Medlock Rd, Decatur, GA 30030-1566.

What is the taxonomy code for Evergreen ABA?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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