Individual
KAITLIN PENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
25 WAREHAM ST BLDG 4, MIDDLEBORO, MA 02346-2456
(508) 465-0793
Mailing address
95 PLYMOUTH ST, MIDDLEBORO, MA 02346-1105
(774) 281-0806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1110
MA
Other
Enumeration date
08/07/2017
Last updated
07/29/2025
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