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Ilona Szewczyk

Behavior Analyst

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Ilona Szewczyk does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356933469
Provider Type
Individual
Full Name
Szewczyk, Ilona
Gender
Female

Sole Proprietor
Yes
Enumeration Date
2/9/2021
Last Updated
2/9/2021

Contact Information

Practice Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

(973) 471-3046

Unlisted Fax

Mailing Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

(973) 471-3046

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-20-46665 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 1-20-46665	Description Other	Issuer BACB New Jersey

Ilona Szewczyk

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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