Provider Demographics
NPI:1912399767
Name:KROKOWSKI, ASHLEY DANIELLE (MA, BCBA, LBA)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:DANIELLE
Last Name:KROKOWSKI
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 N CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-3034
Mailing Address - Country:US
Mailing Address - Phone:631-566-7946
Mailing Address - Fax:
Practice Address - Street 1:129 W 85TH ST
Practice Address - Street 2:APT 4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4434
Practice Address - Country:US
Practice Address - Phone:631-566-7946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00259103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst