Active NPI
Mary-Debra Pawlowski, M.S., B.C.B.A.
- Behavior Analyst
- Davie, FL
National Provider Identifier
1164799060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-9257
- Practice address
- 4431 Davie Rd Ste 108
Davie, FL 33314-3458 - Phone
- (954) 558-4334
- NPI assigned
- Nov 19, 2011
- Last updated
- Jun 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-11-9257 | FL | Primary |
Addresses
Primary practice location
4431 Davie Rd Ste 108
Davie, FL 33314-3458
Mailing address
9608 NW 72ND MNR
Tamarac, FL 33321-3021
Phone (954) 558-4334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior RX Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1164799060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9608 NW 72ND MNR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333213021",
"telephone_number": "954-558-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4431 DAVIE RD STE 108",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143458",
"telephone_number": "954-558-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLOWSKI",
"first_name": "MARY-DEBRA",
"credential": "M.S., B.C.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-19",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-11-9257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.