Provider Demographics
NPI:1811714157
Name:OCHALEK, EWELINA EWA
Entity type:Individual
Prefix:
First Name:EWELINA
Middle Name:EWA
Last Name:OCHALEK
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 1:5895 MASPETH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-2729
Mailing Address - Country:US
Mailing Address - Phone:347-730-3436
Mailing Address - Fax:
Practice Address - Street 1:5895 MASPETH AVE APT 1
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2729
Practice Address - Country:US
Practice Address - Phone:347-730-3436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst