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

Maryellen Fedorchak

Individual provider Behavior Technician · NPI 1134875693

Maryellen Fedorchak is a Behavior Technician in Olivette, Missouri. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

9374 Olive Blvd Ste 101
Olivette, MO 63132-3253
Phone: (314) 932-2402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1134875693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address9374 Olive Blvd Ste 101, Olivette, MO 63132-3253

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