Shaeleigh Penzak

NPI #1972138212 in Loveland, Colorado

Provider Information

NPI Number: 1972138212
Entity Type: Individual
Name: Shaeleigh Penzak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 6, 2020
Last Updated: Mar 6, 2020

Practice Location

Address: 2906 GINNALA DRIVE
City: Loveland
State: Colorado
ZIP Code: 80538
Phone: (303) 989-8169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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