Evergreen Aba

LBN: Evergreen Aba
Evergreen Aba is an health care organization with primary practice located at 496 Medlock Rd , Decatur GA 30030-1566. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Evergreen Aba can be contacted via phone (229) 733-5565, or through Ackerman, Melanie via phone (229) 733-5565.

Contact Information

Primary practice address
496 Medlock Rd Decatur GA 30030-1566
Phone: (229) 733-5565
Fax: (229) 391-1950
Website:
Map and Directions
Authorized official contact:
Name: Ackerman, Melanie M.ED., BCBA
Phone: (229) 733-5565

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1710877832
LBN Legal business name Evergreen Aba
DBA Doing business as
Authorized official Ackerman, Melanie M.ED., BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2025
Last updated Jun 18th, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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