Provider Demographics
NPI:1457855397
Name:CZAROBSKI, ARTHUR E
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:E
Last Name:CZAROBSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 ASHLEY OAK LN
Mailing Address - Street 2:
Mailing Address - City:LAKE DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75065-2203
Mailing Address - Country:US
Mailing Address - Phone:708-721-0547
Mailing Address - Fax:
Practice Address - Street 1:5312 COUNTESS CT
Practice Address - Street 2:
Practice Address - City:LAKE DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75065-2610
Practice Address - Country:US
Practice Address - Phone:708-721-0547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2678103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst