Individual
ANNE LANFORD PENROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10475 CROSSPOINT BLVD STE 250, INDIANAPOLIS, IN 46256-3387
(463) 205-0087
(646) 859-4440
Mailing address
560 SYLVAN AVE STE 1110, ENGLEWOOD CLIFFS, NJ 07632-3118
(646) 873-6600
(646) 859-4440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56592
IN
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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