Provider Demographics
NPI:1760052708
Name:PAWLIK, BRITTANY ANN (BCBA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:PAWLIK
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 1:90 WHITE PINE DR
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1531
Mailing Address - Country:US
Mailing Address - Phone:609-361-4402
Mailing Address - Fax:
Practice Address - Street 1:1001 BRIGGS RD STE 280
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-4104
Practice Address - Country:US
Practice Address - Phone:609-361-4402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJYKT3HZN07370050OtherHORIZON BLUE CROSS BLUE SHIELD