Shining Hearts ABA

Behavior Analyst · Conyers, GA

Organization Active NPI

NPI number 1942016464

Practice location

2425 Wall St SE
Conyers, GA 30013-6342
Phone
(845) 376-2226

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NPI record

NPI
1942016464
Entity type
Organization (Type 2)
Enumeration date
December 9, 2024
Last updated
December 9, 2024
Certified
December 9, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

36 Airport Rd
Lakewood, NJ 08701-7034

Authorized official

Name
Mrs. Miriam Mermelstein
Title
CEO
Phone
(845) 376-2226

About Shining Hearts ABA

Shining Hearts ABA is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2425 Wall St SE, Conyers, GA 30013-6342. The NPI number 1942016464 was assigned on December 9, 2024 and the record was last updated on December 9, 2024.

The authorized official for this organization is Mrs. Miriam Mermelstein, CEO.

Frequently asked questions

What is the NPI number of Shining Hearts ABA?

The NPI number is 1942016464.

What is the phone number of Shining Hearts ABA?

The phone number listed for the practice location is (845) 376-2226.

Where is Shining Hearts ABA located?

2425 Wall St SE, Conyers, GA 30013-6342.

What is the taxonomy code for Shining Hearts 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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