Stephen Mark Pederson
Stephen Mark Pederson is a Behavior Technician in Jacksonville, Florida. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
13553 Atlantic Blvd Ste 100Jacksonville, FL 32225-4227
Phone: (904) 420-7030
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1821575143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 20, 2018 |
| Last updated in NPPES | March 4, 2021 |
| Certification date | March 4, 2021 |
| Mailing address | 1393 Belvedere Ave, Jacksonville, FL 32205-7942 |
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