Individual
TERANIQUA RENEE PENDELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD # 250, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
6133A W CAPITOL DR, MILWAUKEE, WI 53216-2119
(414) 292-8160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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