Michelle Penner

NPI #1467079376 in Hewitt, Texas

Provider Information

NPI Number: 1467079376
Entity Type: Individual
Name: Michelle Penner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 26, 2020
Last Updated: Jun 26, 2020

Practice Location

Address: 903 PARKVIEW CIR
City: Hewitt
State: Texas
ZIP Code: 76643-3265
Phone: (903) 312-1315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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