Individual
KRISTIN LYNN PENNEWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
8098 SANDPIPER CIR, NOTTINGHAM, MD 21236-4928
(410) 344-5131
Mailing address
5201 FORGE RD, PERRY HALL, MD 21128-9573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MD
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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