Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Autumn Breshawn Pannkuk

Individual provider Behavior Technician · NPI 1144840422

MS. Autumn Breshawn Pannkuk is a Behavior Technician in Edgewater, Maryland. Licensed in Maryland. Registered with an NPI since 2020.

Licensed in
MD
In the registry since
2020
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Practice location Address checks out

1395 Bayside Dr
Edgewater, MD 21037-4421
Phone: (951) 283-8174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MD)

Record details

NPI number1144840422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2020
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020

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