Individual
ELIZABETH ELLEN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
7405 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-3056
(317) 918-2689
Mailing address
7405 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-3056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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