Pedersen, Alan Bjorn

Pedersen, Alan Bjorn is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730-1406. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Pedersen, Alan Bjorn can be contacted via phone (781) 761-5089.

Contact Information

Primary practice address
205 Burlington Rd Bedford MA 01730-1406
Phone: (781) 761-5089
Fax: (781) 275-7207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1235734021
LBN Legal business name Pedersen, Alan Bjorn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2020
Last updated Dec 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235734021 NPPES
Massachusetts Other 042611055 TAX ID
Massachusetts Other 1303287 TAX ID
Massachusetts Other 0000023532 TAX ID
Massachusetts Other M18633 TAX ID
Massachusetts Other 1004745 TAX ID
Massachusetts Other 1004745 TAX ID
Massachusetts Other 99618201 TAX ID

Popular Providers