Most Relevant Information
Provider Data
NPI Number: | 1003324948 |
Provider Name: | SARAH PEDERSEN MA, RBT, BCBA |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 01/12/2018 |
Last Updated: | 08/20/2018 |
Provider Practice Location
4251 S HIGUERA ST STE 800
SAN LUIS OBISPO
CA
93401
Practice Location Phone/Fax
Phone: | 8055417130 |
Fax: |
Provider Mailing Location
4251 S HIGUERA ST STE 800
SAN LUIS OBISPO
CA
934017736
Provider Mailing Phone/Fax
Phone: | 8055417130 |
Fax: |