Individual
SHANON PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BREAKWATER BAY, HERMITAGE, TN 37076-3675
(615) 414-8195
Mailing address
125 BREAKWATER BAY, HERMITAGE, TN 37076-3675
(615) 414-8195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22235
TN
Other
Enumeration date
09/20/2016
Last updated
11/21/2016
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