Melvin Jeffery Penn 11
Melvin Jeffery Penn 11 is a Behavior Technician in Laurel, Maryland. Licensed in Maryland. Registered with an NPI since 2021.
- Licensed in
- MD
- In the registry since
- 2021
Practice location Address checks out
275 Red Clay Rd Apt 303Laurel, MD 20724-2369
Phone: (202) 790-8903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-21-174539 (MD) |
|---|
Record details
| NPI number | 1114599198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 11, 2021 |
| Last updated in NPPES | July 11, 2021 |
| Certification date | July 11, 2021 |
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