Whalio Doctors

NPI 1053902601

Laurel Pennington

Practitioner Behavior Analyst North Charleston, SC

Practice location

Address
4515 Spruill Ave, North Charleston, SC 29405-4764
Phone
(843) 352-7049
Fax
(615) 815-1946
Mailing address
PO Box 931142, Atlanta, GA 31193-1142

Registered specialties (2)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-23-68456 (SC)
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1053902601
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jan 2021
Record last updated
20 Nov 2023

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.