Provider Demographics
NPI:1992361448
Name:POHLMAN, JODI L (RBT)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:L
Last Name:POHLMAN
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:L
Other - Last Name:PAWLICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4122 WILLIAMSON LN
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-2237
Mailing Address - Country:US
Mailing Address - Phone:850-723-6570
Mailing Address - Fax:
Practice Address - Street 1:8100 OPPORTUNITY DR STE B
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32583-8727
Practice Address - Country:US
Practice Address - Phone:850-723-6570
Practice Address - Fax:850-994-8443
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician