Provider Demographics
NPI:1255203048
Name:VALCOR ABA LLC
Entity type:Organization
Organization Name:VALCOR ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GEWIRTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-596-8297
Mailing Address - Street 1:1305 BARNARD ST STE 851
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-6746
Mailing Address - Country:US
Mailing Address - Phone:912-299-2221
Mailing Address - Fax:912-428-9797
Practice Address - Street 1:6409 ABERCORN ST STE A1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5715
Practice Address - Country:US
Practice Address - Phone:912-299-2221
Practice Address - Fax:912-428-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty