Provider Demographics
NPI:1225832991
Name:BORJA, ABRAHAM DAVID
Entity type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:DAVID
Last Name:BORJA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ABRAHAM
Other - Middle Name:D
Other - Last Name:BORJA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7806 WILLOW CREST DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37062-1426
Mailing Address - Country:US
Mailing Address - Phone:615-714-9970
Mailing Address - Fax:
Practice Address - Street 1:7806 WILLOW CREST DR
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:TN
Practice Address - Zip Code:37062-1426
Practice Address - Country:US
Practice Address - Phone:615-714-9970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician