Provider Demographics
NPI:1376815902
Name:CHELMINSKI, RISHI EDWARD (MS, BCBA)
Entity Type:Individual
Prefix:MR
First Name:RISHI
Middle Name:EDWARD
Last Name:CHELMINSKI
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 HOYT AVE S FL 3
Mailing Address - Street 2:US
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-3430
Mailing Address - Country:US
Mailing Address - Phone:352-262-6204
Mailing Address - Fax:
Practice Address - Street 1:2104 HOYT AVE S FL 3
Practice Address - Street 2:US
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-3430
Practice Address - Country:US
Practice Address - Phone:352-262-6204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11118417103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst