Individual
MARK ERIC PENN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
634 SAINT NICHOLAS AVE APT 1G, NEW YORK, NY 10030-1013
(757) 918-0068
Mailing address
634 SAINT NICHOLAS AVE APT 1G, NEW YORK, NY 10030-1013
(757) 918-0068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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