Individual
ANTHONY PAVLACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
9445 FARNHAM ST, #104, SAN DIEGO, CA 92123-1308
(858) 598-2693
Mailing address
9445 FARNHAM ST, #104, SAN DIEGO, CA 92123-1308
(858) 598-2693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16101
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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