Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Khadijah Pennington

Individual provider Behavior Analyst · NPI 1821746306

Khadijah Pennington is a Behavior Analyst in Plainview, New York. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

255 Executive Dr
Plainview, NY 11803-1718
Phone: (516) 576-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1821746306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address13025 225th St, Laurelton, NY 11413-1228

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