MEDICARE: PBA ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1922391127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PBA ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	3701 STEPPING STONE LN
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1932
Country	:	US
Telephone Number	:	443-708-4391
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 N MONROE ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21223-1641
Country	:	US
Telephone Number	:	443-708-4391
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ARNIE E AKPAN
Credential	:
Telephone Number	:	443-708-4391

Provider Enumeration Date	:	05/20/2011
Last Update Date	:	05/20/2011

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Directions to “PBA ASSOCIATES, INC. ” Practice Location

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