Provider Demographics
NPI:1003131178
Name:HARCHIK, ALAN (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:HARCHIK
Suffix:
Gender:M
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 AUBINWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1627
Mailing Address - Country:US
Mailing Address - Phone:413-687-9837
Mailing Address - Fax:
Practice Address - Street 1:239 AUBINWOOD RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1627
Practice Address - Country:US
Practice Address - Phone:413-687-9837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101-0626103K00000X
MA6749103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities