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Edgar Pedraza

Behavior Technician in Santa Maria, CA. Individual provider (NPI-1).

NPI number1164083465
StatusActive
Last updated in NPPESJun 26, 2019

Details

NPI
1164083465
Entity type
Individual (NPI-1)
Name
Edgar Pedraza
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 26, 2019
Last updated
Jun 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2342 Professional Pkwy Ste 300
Santa Maria, CA 93455-6819

Phone 805-979-9941

Mailing address

2342 Professional Pkwy Ste 300
Santa Maria, CA 93455-6819

Phone 805-979-9941

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