Ms Janis M Pedro, LCSW is a
Behavior Technician based in Laurel, Montana. Ms Janis M Pedro is licensed to practice in * (Not Available) (license number ) and her current practice location is
20 5th Ave, Laurel, Montana. She can be reached at her office (for appointments etc.) via phone at
(307) 272-5881.
NPI number for Ms Janis M Pedro is 1104064195 and her current mailing address is #20 5th Avenue, Laurel, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104064195.
Healthcare Provider's Profile
| Full Name | Ms Janis M Pedro |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 20 5th Ave, Laurel, Montana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104064195
- Provider Enumeration Date: 01/28/2009
- Last Update Date: 08/16/2017
Medical Identifiers
Medical identifiers for Ms Janis M Pedro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104064195 | NPI | - | NPPES |
| 1104064195 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 935 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-524 (Wyoming) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Janis M Pedro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Janis M Pedro, LCSW
#20 5th Avenue,
Laurel, MT 59044-9299
Ph: (307) 272-5881 | Ms Janis M Pedro, LCSW
20 5th Ave,
Laurel, MT 59044-2913
Ph: (307) 272-5881 |
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