Provider Demographics
NPI:1255647376
Name:PEKAREK, RONALD C (MS,, BCBA)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:C
Last Name:PEKAREK
Suffix:
Gender:M
Credentials:MS,, BCBA
Other - Prefix:
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Mailing Address - Street 1:2637 W BURREL AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-4511
Mailing Address - Country:US
Mailing Address - Phone:559-747-3984
Mailing Address - Fax:559-747-3642
Practice Address - Street 1:28050 ROAD 148
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-9297
Practice Address - Country:US
Practice Address - Phone:559-747-3984
Practice Address - Fax:559-747-3642
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst