Provider Demographics
NPI:1235742180
Name:HOEWELER-PEDOTO, AMY MARIE (BCBA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:HOEWELER-PEDOTO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:PEDOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6847 WATERBURY LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6615
Mailing Address - Country:US
Mailing Address - Phone:513-582-7534
Mailing Address - Fax:
Practice Address - Street 1:6847 WATERBURY LN
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-6615
Practice Address - Country:US
Practice Address - Phone:513-582-7534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOBA.00665103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst