Michelle Lee Pedersen
Michelle Lee Pedersen is a Behavior Technician in O Fallon, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
416 N Vine StO Fallon, IL 62269-1341
Phone: (618) 558-2849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1588192272 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 25, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 416 N Vine St, O Fallon, IL 62269-1341 |
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