Healthcare Provider Details

I. General information

NPI: 1942105929
Provider Name (Legal Business Name): PAUL LUKE JABLUNSKY BT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 JAMESTOWN RD STE 203
WILLIAMSBURG VA
23185-3380
US

IV. Provider business mailing address

118 RIVER RD
POQUOSON VA
23662-1310
US

V. Phone/Fax

Practice location:
  • Phone: 703-909-0807
  • Fax: 757-271-5511
Mailing address:
  • Phone: 757-849-8170
  • Fax: 757-271-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: