Provider Demographics
NPI:1922391127
Name:PBA ASSOCIATES, INC.
Entity Type:Organization
Organization Name:PBA ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:AKPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-708-4391
Mailing Address - Street 1:3701 STEPPING STONE LN
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1932
Mailing Address - Country:US
Mailing Address - Phone:443-708-4391
Mailing Address - Fax:
Practice Address - Street 1:115 N MONROE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-1641
Practice Address - Country:US
Practice Address - Phone:443-708-4391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health