Individual
JACQUELINE PECORARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3859 FEE FEE RD, BRIDGETON, MO 63044-2937
(314) 410-9670
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-158908
MO
106S00000X
Behavior Technician
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—
Other
Enumeration date
12/02/2020
Last updated
05/13/2024
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