Justine Erica Panchuk, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3223 NW 10TH Ter Ste 610
Ft Lauderdale, FL 33309-5940

Phone

(431) 276-0954

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1619565702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10827",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323022827",
            "telephone_number": "850-521-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 NW 10TH TER STE 610",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095940",
            "telephone_number": "431-276-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHUK",
        "first_name": "JUSTINE",
        "middle_name": "ERICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Matthew Palminteri, D.C.
• Ingrid Palmisano, LCSW
• Pamela Ebmeier Montmeny O D P a
• Pamela Morgan, Inc.
• Jane Panagiotakos
• Sophia Pandey
• Keya Pandya, PA-C
• Monica Paneru, DO
• Panhealth LLC
• Kulbir S Pannu, MD

• Behavior Analyst in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.