Individual
ADRIANNE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8801 FOLSOM BLVD STE 265, SACRAMENTO, CA 95826-3250
(510) 328-7178
Mailing address
2543 STONEHAVEN DR, SACRAMENTO, CA 95827-1141
(916) 862-6238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/19/2019
Last updated
02/21/2019
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