Keandre Penick

NPI #1356233985 in Taylor, Michigan

Provider Information

NPI Number: 1356233985
Entity Type: Individual
Name: Keandre Penick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2025
Last Updated: Jul 17, 2025

Practice Location

Address: 20332 EUREKA RD
City: Taylor
State: Michigan
ZIP Code: 48180-5310
Phone: (833) 455-8622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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