Provider Demographics
NPI:1144886508
Name:PIETROWSKI, KATHRYN (BCBA)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:PIETROWSKI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WOODLAND TRL
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-4203
Mailing Address - Country:US
Mailing Address - Phone:201-248-1710
Mailing Address - Fax:
Practice Address - Street 1:7 WOODLAND TRL
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-4203
Practice Address - Country:US
Practice Address - Phone:201-248-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-11
Last Update Date:2019-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty