Individual
MRS. DANIELLE LAUREN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1613 LONG PRAIRIE CT, ALLEN, TX 75002-8381
(480) 236-5298
Mailing address
1613 LONG PRAIRIE CT, ALLEN, TX 75002-8381
(480) 236-5298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
1-17-25975
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
01/02/2025
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