IndividualActive
Janis Pedro, LCSW
NPI 1104064195 · Behavior Technician · Laurel, MT
Provider details
- NPI number
- 1104064195
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 935 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
20 5th Ave
Laurel, MT 59044-2913
Phone: (307) 272-5881
Approximate (ZIP-level) locationGet directions
Mailing address
#20 5th Avenue
Laurel, MT 59044-9299
Registry dates
- Enumerated
- 2009-01-28
- Last updated
- 2017-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.