Healthcare Provider Details

I. General information

NPI: 1831024470
Provider Name (Legal Business Name): THE VILLAGE ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2571 WILLOW GROVE RD NW
ACWORTH GA
30101-3029
US

IV. Provider business mailing address

2571 WILLOW GROVE RD NW
ACWORTH GA
30101-3029
US

V. Phone/Fax

Practice location:
  • Phone: 404-490-1446
  • Fax: 470-826-4640
Mailing address:
  • Phone: 703-585-2644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. SHANEE HALBERT
Title or Position: CEO/OWNER
Credential: BCBA
Phone: 404-490-1446