Provider Demographics
NPI:1649593245
Name:ABA HEALTH SERVICES COUNSELING
Entity Type:Organization
Organization Name:ABA HEALTH SERVICES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH
Authorized Official - Phone:410-367-7821
Mailing Address - Street 1:3123 LAKEWOOD MANOR DR
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-1653
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3939 REISTERSTOWN RD STE 150
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-7601
Practice Address - Country:US
Practice Address - Phone:410-367-7821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABA HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-10
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD400407800Medicaid
MD400448500Medicaid
MD643107OtherVALUE OPTIONS
MDY19647Medicare UPIN
MD987MMedicare PIN