Provider Demographics
NPI:1598211872
Name:HRANCHUK, KIEVA (BCBA-D)
Entity Type:Individual
Prefix:
First Name:KIEVA
Middle Name:
Last Name:HRANCHUK
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 E VIA DE VENTURA
Mailing Address - Street 2:APT 2005
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-6600
Mailing Address - Country:US
Mailing Address - Phone:917-613-5042
Mailing Address - Fax:
Practice Address - Street 1:22555 N MILLER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4944
Practice Address - Country:US
Practice Address - Phone:480-410-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ249103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst