NPI 1104360726

Jennifer Pannebaker

Practitioner Behavior Analyst Cheyenne, WY

Practice location

Address: 813 Randall Ave, Cheyenne, WY 82001
Phone: (719) 469-4906
Mailing address: 813 Randall Ave, Cheyenne, WY 82001-2559

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-14-9812 (FL)

Other Behavior Analyst providers in Wyoming →

Registry record

NPI: 1104360726
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2016
Record last updated: 6 Jan 2020

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.