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Katharine Penny

Behavior Technician in St Augustine, FL. Individual provider (NPI-1).

NPI number1316610967
StatusActive
Last updated in NPPESJul 29, 2021

Details

NPI
1316610967
Entity type
Individual (NPI-1)
Name
Katharine Penny
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2021
Certification date
Jul 29, 2021
Last updated
Jul 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

124 Capulet Dr Ste 102
St Augustine, FL 32092-4538

Phone 904-429-3859

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Phone 866-610-0580

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