MR. Sean Michael Penegor

NPI #1104539212 in Red Wing, Minnesota

Provider Information

NPI Number: 1104539212
Entity Type: Individual
Name: MR. Sean Michael Penegor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 4, 2023
Last Updated: Jan 4, 2023

Practice Location

Address: 4911 LEARNING LN
City: Red Wing
State: Minnesota
ZIP Code: 55066-4533
Phone: (651) 360-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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