Provider Demographics
NPI:1699076836
Name:CZECH, HELENE MARIA (MSED, SDA, BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:HELENE
Middle Name:MARIA
Last Name:CZECH
Suffix:
Gender:F
Credentials:MSED, SDA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 HIBERNIA RD
Mailing Address - Street 2:FL 2
Mailing Address - City:SALT POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12578-2104
Mailing Address - Country:US
Mailing Address - Phone:917-797-9533
Mailing Address - Fax:
Practice Address - Street 1:52 HIBERNIA RD
Practice Address - Street 2:FL 2
Practice Address - City:SALT POINT
Practice Address - State:NY
Practice Address - Zip Code:12578-2104
Practice Address - Country:US
Practice Address - Phone:917-797-9533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator