Individual
TRACY A PAWLUKANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
35 BEAVERSON BLVD STE 12A, BRICK, NJ 08723-7870
(732) 996-4166
Mailing address
1601 FAITH RIVER PATH, WENDELL, NC 27591-3330
(848) 459-3211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL067224800
NJ
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
12/07/2021
Last updated
09/27/2024
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