Organization
EVERGREEN ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ACKERMAN M.ED., BCBA (PRESIDENT)
(229) 733-5565
Entity
Organization
Contact information
Practice address
496 MEDLOCK RD, DECATUR, GA 30030-1566
(229) 733-5565
(229) 391-1950
Mailing address
496 MEDLOCK RD, DECATUR, GA 30030-1566
(229) 733-5565
(229) 391-1950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
06/18/2026
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