Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen ABA

Organization Behavior Analyst · NPI 1710877832

Evergreen ABA is a Behavior Analyst in Decatur, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

496 Medlock Rd
Decatur, GA 30030-1566
Phone: (229) 733-5565
Fax: (229) 391-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1710877832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Ackerman — President · (229) 733-5565
NPI enumeratedJuly 9, 2025
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address496 Medlock Rd, Decatur, GA 30030-1566

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