Provider Demographics
NPI:1306575147
Name:WOJCIECHOWSKI, PHOEBE (MED, BCBA)
Entity type:Individual
Prefix:
First Name:PHOEBE
Middle Name:
Last Name:WOJCIECHOWSKI
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N LAWN ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-3246
Mailing Address - Country:US
Mailing Address - Phone:989-657-9057
Mailing Address - Fax:
Practice Address - Street 1:450 N LAWN ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-3246
Practice Address - Country:US
Practice Address - Phone:989-657-9057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst