Provider Demographics
NPI:1861290165
Name:VILLAGE ABA
Entity type:Organization
Organization Name:VILLAGE ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:EL-KHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:978-852-1348
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 1:161 LOWELL RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4019
Practice Address - Country:US
Practice Address - Phone:978-852-1348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care