Individual provider Active NPI

Rebecca Pawlowski, BCBA, LBA

  • Behavior Analyst
  • Tempe, AZ
National Provider Identifier
1548500101
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-26844
Practice address
315 W Elliot Rd Ste 106
Tempe, AZ 85284-1328
Phone
(602) 909-8630
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA-8126 AZ
Behavior Analyst 103K00000X 1-17-26844 Primary

Addresses

Primary practice location

315 W Elliot Rd Ste 106
Tempe, AZ 85284-1328

Mailing address

508 E Orion St
Tempe, AZ 85283-2880
Phone (602) 909-8630

Other practice location 1

508 E Orion St
Tempe, AZ 85283-2880
Phone (602) 529-6950

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

State licenses

LicenseStateTypeSpecialty
SLPA-8126AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Play Path Therapies, PLLC Behavior Analyst CurrentSince Mar 20, 2022 Accepting new patients

Locations

4939 W Ray Rd
Ste 21
Chandler, AZ 85226

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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1548500101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E ORION ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832880",
            "telephone_number": "602-909-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W ELLIOT RD STE 106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841328",
            "telephone_number": "602-909-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 E Orion St",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852832880",
            "country_code": "US",
            "telephone_number": "602-529-6950",
            "fax_number": "602-737-1016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWLOWSKI",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA-8126",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-26844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.