Dean Allen Pavlicek, MS
Individual provider Active NPI Behavior Analyst · Grafton, ND
NPI 1801178694 · NPPES record last updated Sep 16, 2011
Key facts
- NPI
- 1801178694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 701 W 6TH St
Grafton, ND 58237-1379 - Phone
- (701) 352-4200
- NPI assigned
- Sep 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
701 W 6TH St
Grafton, ND 58237-1379
Mailing address
1410 Burntwood CT
Grand Forks, ND 58201-5233
Phone (701) 352-4404
Other providers in Grafton, ND
- Morgan Olson
- Gregory L Paintner
- Alissa Lynn Parsons
- Kari Pastorek
- Mackenzie Paulson
- McKayla Petersen
- Jordan Marie Peterson
- Gabrielle A Pfingsten
- Mikayla Beth Phelps
- Michaela B Pollock
All providers in Grafton, ND · Behavior Analyst in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.