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NPI Code Detail

MEDICARE: JOCELYN EWASIUK RBT

MEDICARE: JOCELYN EWASIUK RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1841145281
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN EWASIUK RBT
Provider Business Mailing Address
First Line : 442 SAND CREEK DR STE 101
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-1596
Country : US
Telephone Number : 219-359-3272
Fax Number :
Provider Business Practice Location Address
First Line : 5521 W LINCOLN HWY STE 101
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-1118
Country : US
Telephone Number : 219-359-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ JOCELYN EWASIUK RBT” Practice Location

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