Individual
ADRIENNE MARIE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 WASHINGTON ST, MONTICELLO, MN 55362-8812
(763) 272-2050
Mailing address
5742 SUMTER AVE N, CRYSTAL, MN 55428-3313
(952) 797-3910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59331
MN
106S00000X
Behavior Technician
—
MN
Other
Enumeration date
08/05/2020
Last updated
09/15/2023
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