Provider Demographics
NPI:1326302613
Name:MOTYLEWICZ, KATARZYNA (MSED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KATARZYNA
Middle Name:
Last Name:MOTYLEWICZ
Suffix:
Gender:F
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6264 SAUNDERS ST APT D3
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1510
Mailing Address - Country:US
Mailing Address - Phone:646-623-9440
Mailing Address - Fax:
Practice Address - Street 1:6264 SAUNDERS ST APT D3
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1510
Practice Address - Country:US
Practice Address - Phone:646-623-9440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-01
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-12-10173103K00000X
NY556998174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst