Provider Demographics
NPI:1457982423
Name:EL-KHOURY, GEORGE J (MA BCBA)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:J
Last Name:EL-KHOURY
Suffix:
Gender:M
Credentials:MA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-4019
Mailing Address - Country:US
Mailing Address - Phone:978-852-1348
Mailing Address - Fax:
Practice Address - Street 1:19 HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-6808
Practice Address - Country:US
Practice Address - Phone:508-233-2308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst