Martin Nowakowski
Behavior Technician in Peoria, AZ. Individual provider (NPI-1).
NPI number1083274286
StatusActive
Last updated in NPPESJun 19, 2019
Details
- NPI
- 1083274286
- Entity type
- Individual (NPI-1)
- Name
- Martin Nowakowski
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2019
- Last updated
- Jun 19, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
21505 N 78th AveSuite 125
Peoria, AZ 85382-3356
Phone 303-989-8169
Mailing address
21505 N 78th AveSuite 125
Peoria, AZ 85382-3356
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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