Provider Demographics
NPI:1083907141
Name:RYCHKO, IRYNA
Entity Type:Individual
Prefix:
First Name:IRYNA
Middle Name:
Last Name:RYCHKO
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 1:11691 NE 18TH DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3278
Mailing Address - Country:US
Mailing Address - Phone:786-718-9599
Mailing Address - Fax:786-718-9599
Practice Address - Street 1:11691 NE 18TH DR
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3278
Practice Address - Country:US
Practice Address - Phone:786-718-9599
Practice Address - Fax:786-718-9599
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst