Provider Demographics
NPI:1770847741
Name:BORZIKOWSKY, FRUMA (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:FRUMA
Middle Name:
Last Name:BORZIKOWSKY
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:FRUMA
Other - Middle Name:
Other - Last Name:FELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1905 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2341
Mailing Address - Country:US
Mailing Address - Phone:718-236-1202
Mailing Address - Fax:
Practice Address - Street 1:1905 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2341
Practice Address - Country:US
Practice Address - Phone:347-263-1966
Practice Address - Fax:718-236-1202
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY11725108103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist