Provider Demographics
NPI:1497415947
Name:EK ABA
Entity Type:Organization
Organization Name:EK ABA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EWELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUBIAK
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:201-988-3743
Mailing Address - Street 1:10842 BERKSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5032
Mailing Address - Country:US
Mailing Address - Phone:201-988-3743
Mailing Address - Fax:
Practice Address - Street 1:10842 BERKSHIRE ST
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5032
Practice Address - Country:US
Practice Address - Phone:201-988-3743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-26
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty