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Isaak Pedersen

Behavior Technician in Puyallup, WA. Individual provider (NPI-1).

NPI number1831968478
StatusActive
Last updated in NPPESDec 22, 2023

Details

NPI
1831968478
Entity type
Individual (NPI-1)
Name
Isaak Pedersen
Sex
Male
Sole proprietor
No
Enumeration date
Dec 22, 2023
Certification date
Dec 22, 2023
Last updated
Dec 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

205 15th Ave Sw
Puyallup, WA 98371-7873

Phone 855-581-0100

Mailing address

2080 N Tustin Ave Ste B
Santa Ana, CA 92705-7875

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