Individual
MICHELE KOCHANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACB
Contact information
Practice address
500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 33441-1814
(954) 603-7885
Mailing address
5400 36TH AVE N, ST PETERSBURG, FL 33710-2021
(727) 403-0328
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042197449
TRICARE
FL
Enumeration date
07/20/2009
Last updated
02/03/2018
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