Dr. Edward Pecukonis
Behavior Analyst Clinical Social Worker
3244 Danmark Dr
Glenwood
, Maryland 21738-9415
Dr. Edward Pecukonis
Behavior Analyst Clinical Social Worker
3244 Danmark Dr
Glenwood
, Maryland 21738-9415
(410) 493-1530
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About
Features
Specialties
- Behavior Analyst
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Dr. Edward Pecukonis
- 3244 Danmark Dr
- Glenwood, MD
- Zip : 21738-9415
- Phone : (410) 493-1530
Second Address
- Dr. Edward Pecukonis
- 3244 Danmark Dr
- Glenwood, MD
- Zip : 21738-9415
- Phone : (410) 493-1530
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103K00000X | Behavior Analyst | 04642 | MD |
| Y | 1041C0700X | Clinical Social Worker | 04642 | MD |
National Provider Identifier
| NPI | 1003291493 |
|---|---|
| Provider Name | Dr. Edward Pecukonis |
| First Address | Glenwood, MD 21738-9415 |
| Second Address | Glenwood, MD 21738-9415 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2015 |
| Last Update Date | 27/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.