Provider Demographics
NPI:1083489413
Name:FNIECH, AYA
Entity Type:Individual
Prefix:
First Name:AYA
Middle Name:
Last Name:FNIECH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 KOEHLER DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1609
Mailing Address - Country:US
Mailing Address - Phone:708-571-4046
Mailing Address - Fax:
Practice Address - Street 1:8600 W 159TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4890
Practice Address - Country:US
Practice Address - Phone:690-290-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician