Individual
HANNAH HEINTZLEMAN PENDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
1959 N PEACE HAVEN RD STE 104, WINSTON SALEM, NC 27106-4850
(336) 560-7878
Mailing address
1959 N PEACE HAVEN RD STE 104, WINSTON SALEM, NC 27106-4850
(336) 560-7878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
898
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/26/2021
Last updated
01/04/2024
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