Individual
MS. DONNA PATRICIA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., TSHH
Contact information
Practice address
20411 45TH DR, BAYSIDE, NY 11361-3114
(347) 683-3319
Mailing address
20411 45TH DR, BAYSIDE, NY 11361-3114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
400912031
NY
Other
Enumeration date
09/08/2010
Last updated
04/14/2016
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