Organization
WE ARE THE VILLAGE LLC
Active
Other names
The Village ABA Academy
Organization subpart
No
Provider details
NPI number
Authorized official
JAUNESIA DAVIS (CEO)
(219) 883-2060
Entity
Organization
Contact information
Practice address
4030 W 5TH AVE, GARY, IN 46406-1740
(219) 883-2060
Mailing address
4030 W 5TH AVE, GARY, IN 46406-1740
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/06/2024
Last updated
10/16/2024
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