| Pederec Inc. | |
|
14115 Lovers Ln Ste 154 Culpeper VA 22701-4158 | |
| (757) 544-9140 | |
| Not Available |
| Full Name | Pederec Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14115 Lovers Ln Ste 154, Culpeper, Virginia |
| Authorized Official Name and Position | Robert D Fai (CEO) |
| Authorized Official Contact | 5712377725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pederec Inc. 14115 Lovers Ln Ste 154 Culpeper VA 22701-4158 Ph: (757) 544-9140 | Pederec Inc. 14115 Lovers Ln Ste 154 Culpeper VA 22701-4158 Ph: (757) 544-9140 |
| NPI Number | 1396347340 |
|---|---|
| Provider Enumeration Date | 11/14/2020 |
| Last Update Date | 11/14/2020 |
| Certification Date | 11/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396347340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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