Healthcare Provider Details

I. General information

NPI: 1841101672
Provider Name (Legal Business Name): BRIAN PEDONE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 HIGH POINT BLVD STE 160
BETHLEHEM PA
18017-7820
US

IV. Provider business mailing address

3183 SHAFERS SCHOOLHOUSE RD
STROUDSBURG PA
18360-7434
US

V. Phone/Fax

Practice location:
  • Phone: 570-242-6913
  • Fax:
Mailing address:
  • Phone: 570-242-6913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: