Jasen M Pekalla

NPI #1093449928 in Boardman, Ohio

Provider Information

NPI Number: 1093449928
Entity Type: Individual
Name: Jasen M Pekalla
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 15, 2022
Last Updated: Jul 15, 2022

Practice Location

Address: 5500 MARKET ST STE 119
City: Boardman
State: Ohio
ZIP Code: 44512-2616
Phone: (330) 991-9117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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