Anthony Peniston

NPI #1649987371 in Keller, Texas

Provider Information

NPI Number
1649987371
Entity Type
Individual
Name
Anthony Peniston
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Nov 2, 2022
Last Updated
Nov 2, 2022

Practice Location

Address
773 BANDIT TRL
City
Keller
State
Texas
ZIP Code
76248-0111
Phone
(817) 442-9022

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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