NPI 1205712965
Wonder Haven PLLC
Practice location
- Address
- 1014 Willow Cir, Clarksville, TN 37043-6854
- Phone
- (240) 938-3719
Authorised official
- Name
- Erica Vanesa Penko
- Title
- Owner/Bcba
- Phone
- (240) 938-3719
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1205712965
- Entity type
- Organization
- NPI issued
- 15 Aug 2025
- Record last updated
- 15 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.