Provider Demographics
NPI:1720019672
Name:ABA HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ABA HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
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:410-367-7821
Mailing Address - Fax:410-367-7823
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:410-367-7823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD400448500Medicaid
MD400407800Medicaid
MD643107OtherVALUE OPTIONS
MD400448500Medicaid
MD400407800Medicaid