Individual
RHYLEE MARIE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 31ST AVE S STE A, FARGO, ND 58104-7743
(701) 478-0221
(701) 478-0222
Mailing address
1415 6TH AVE S # 407, MOORHEAD, MN 56563-1200
(218) 280-0607
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-301172
MN
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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