Wonder Haven Pllc
NPI #1205712965 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1205712965
- Entity Type
- Organization
- Organization Name
- Wonder Haven Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 15, 2025
- Last Updated
- Aug 15, 2025
Practice Location
- Address
- 1014 WILLOW CIR
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37043-6854
- Phone
- (240) 938-3719
Authorized Official
- Name
- ERICA VANESA PENKO, BCBA
- Title
- OWNER/BCBA
- Phone
- (240) 938-3719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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