Individual
JUDITH PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
6385 CORPORATE DR STE 200-41, COLORADO SPRINGS, CO 80919-5901
(719) 341-1150
Mailing address
7025 S AVENIDA DEL RECUERDO, TUCSON, AZ 85756-8550
(951) 807-1300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000576
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-42492
BCBA CERTIFICATE
—
Enumeration date
04/03/2019
Last updated
01/01/2025
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