Individual
FREDERIQUE PESIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 HAXTON DR UNIT 115, FORT COLLINS, CO 80525-6213
(970) 305-8642
Mailing address
1001 E 62ND AVE UNIT 671, DENVER, CO 80216-1162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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