Provider Demographics
NPI:1518636299
Name:LUCZAJ, PAULINA (BCBA)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:LUCZAJ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-6816
Mailing Address - Country:US
Mailing Address - Phone:201-600-6363
Mailing Address - Fax:
Practice Address - Street 1:173 WHEATON PL
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2723
Practice Address - Country:US
Practice Address - Phone:201-771-1134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst