Active NPIIndividual provider

Tracy A Pawlukanis, RBT

Social Worker in Brick, New Jersey

NPI Number1912665852
Practice location
35 Beaverson Blvd Ste 12A, Brick, NJ 08723-7870
Fax
—
Last updated
September 27, 2024

Tracy A Pawlukanis is a Social Worker based in Brick, NJ. Tracy A Pawlukanis practices in Brick, NJ and has the professional credentials of RBT. The NPI Number for Tracy A Pawlukanis is 1912665852 and holds a License No. 44SL067224800 (NJ). The current practice location address for Tracy A Pawlukanis is 35 Beaverson Blvd Ste 12A, Brick, NJ 08723-7870 and can be reached out via phone at 732-996-4166.

Provider Profile Details

NPI Number
1912665852
Provider Name
Tracy A Pawlukanis
Credential
RBT
Provider Entity Type
Individual
Gender
Female
Address
35 Beaverson Blvd Ste 12A, Brick, NJ 08723-7870
Phone Number
732-996-4166
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
December 7, 2021
Last Update Date
September 27, 2024
Certification Date
September 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Beaverson Blvd Ste 12A
Brick, NJ 08723-7870
City
Brick
Zip
08723-7870
Phone Number
732-996-4166
Brick, NJ 08723Get directions →

Provider Business Mailing Address Details

Address
1601 Faith River Path
Wendell, NC 27591-3330
City
Wendell
State
NC
Zip
27591-3330
Phone Number
848-459-3211

License Information

License State (1)
NC
Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
44SL067224800
License State (2)
NJ
Taxonomy (2)
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracy A Pawlukanis, RBT?

The NPI number of Tracy A Pawlukanis, RBT is 1912665852. It was assigned on December 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Tracy A Pawlukanis, RBT?

Tracy A Pawlukanis, RBT is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL067224800.

Where does Tracy A Pawlukanis, RBT practice?

The practice location is 35 Beaverson Blvd Ste 12A, Brick, NJ 08723-7870. The office can be reached at 732-996-4166 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912665852 directly on the NPPES registry website.

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