Provider Demographics
NPI:1962010140
Name:SOKOLOWSKI, MARIE HELEN (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:HELEN
Last Name:SOKOLOWSKI
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5319 120TH AVE E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-5465
Mailing Address - Country:US
Mailing Address - Phone:909-816-7530
Mailing Address - Fax:
Practice Address - Street 1:C31 AVE APOLO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5065
Practice Address - Country:US
Practice Address - Phone:787-221-0874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-20-43025103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst