Individual
MS. ALI ELIZABETH PEDEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
PO BOX 19153, PORTLAND, OR 97280-0153
(781) 999-1655
Mailing address
PO BOX 19153, PORTLAND, OR 97280-0153
(781) 999-1655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2775
MA
Other
Enumeration date
07/25/2011
Last updated
09/18/2025
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