Individual
JOANNA ROSE PEDALINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
17 LEGION PL, ROCHELLE PARK, NJ 07662-3209
(201) 843-3274
Mailing address
130 W PLEASANT AVE # 344, MAYWOOD, NJ 07607-1335
(201) 843-3274
(201) 483-7885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-41139
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB396837
BACB
NJ
01
—
RBT-17-41139
BACB
NJ
Enumeration date
05/26/2021
Last updated
05/26/2021
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