Individual provider Active NPI

Ewelina Wojnarowski, MA, BCBA

  • Behavior Analyst
  • Northbrook, IL
National Provider Identifier
1154740959
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-13034 Issued in IL
Practice address
3100 Dundee Rd
Suite 704
Northbrook, IL 60062-2437
Phone
(847) 498-5437
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-13034 IL Primary

Addresses

Primary practice location

3100 Dundee Rd
Suite 704
Northbrook, IL 60062-2437

Mailing address

3100 Dundee Rd
Suite 704
Northbrook, IL 60062-2437
Phone (847) 498-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
KGH Consultation & Treatment, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1154740959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD",
            "address_2": "SUITE 704",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622437",
            "telephone_number": "847-498-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD",
            "address_2": "SUITE 704",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622437",
            "telephone_number": "847-498-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJNAROWSKI",
        "first_name": "EWELINA",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-13-13034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.