Ewelina Kubiak, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-28095

Practice address

10842 Berkshire St
Westchester, IL 60154-5032

Phone

(201) 988-3743

NPI assigned

Dec 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Ewelina Siedlecka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Ek ABA

  • Behavior Analyst
  • Westchester, IL
  • NPI 1497415947
  NPD Authorized official

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1457867772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10842 BERKSHIRE ST",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545032",
            "telephone_number": "201-988-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10842 BERKSHIRE ST",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545032",
            "telephone_number": "201-988-3743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7243 Madison St Apt 421",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "IL",
            "postal_code": "601303730",
            "country_code": "US",
            "telephone_number": "201-988-3743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "EWELINA",
        "name_prefix": "Mrs.",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-28095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EWELINA",
            "last_name": "SIEDLECKA",
            "prefix": "MS.",
            "credential": "M.ED. BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Isador Kowalsky
• Tracy H. Koziol, MD
• Lauren Sarah Kramer, PA-C
• Bridget Kruger
• Alexis Kruse
• Courtney Kuhns, M.A.
• Nicole Kwasigroch
• Magdalene Ladas, PHARMD
• Laura Laita, D.D.S.
• Jamie Leigh Lambuth, APRN

• Behavior Analyst in Westchester, IL
• Providers in Westchester, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; 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.