Sarah Penkethman
Behavior Technician in Larkfield, CA. Individual provider (NPI-1).
NPI number1982189098
StatusActive
Last updated in NPPESSep 25, 2018
Details
- NPI
- 1982189098
- Entity type
- Individual (NPI-1)
- Name
- Sarah Penkethman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2018
- Last updated
- Sep 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-18-64923 | CA | Yes |
Practice location
160 Wikiup Dr Ste 102Larkfield, CA 95403-7776
Phone 707-308-2120
Mailing address
160 Wikiup Dr Ste 102Larkfield, CA 95403-7776
Phone 707-308-2120
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