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

Kristoffer B Phennicie

Individual provider Behavior Technician · NPI 1861212540

Kristoffer B Phennicie is a Behavior Technician in Mechanicsburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

5021 Louise Dr Ste C
Mechanicsburg, PA 17055-9801
Phone: (484) 965-9966
Fax: (484) 231-8631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-385629 (PA)

Record details

NPI number1861212540
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

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