Provider Demographics
NPI:1750194908
Name:MAJCHRZAK, ANA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:MAJCHRZAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12519 W HONEY LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-2646
Mailing Address - Country:US
Mailing Address - Phone:414-737-4862
Mailing Address - Fax:
Practice Address - Street 1:12519 W HONEY LN
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-2646
Practice Address - Country:US
Practice Address - Phone:414-737-4862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician