Pennington, Jacqueline Elise

Pennington, Jacqueline Elise is an individual health care provider with primary practice located at 46 Mystery Rose Ln , West Grove PA 19390-8812. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Pennington, Jacqueline Elise can be contacted via phone (610) 316-7307.

Contact Information

Primary practice address
46 Mystery Rose Ln West Grove PA 19390-8812
Phone: (610) 316-7307
Fax: (610) 436-1208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1881263077
LBN Legal business name Pennington, Jacqueline Elise
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2021
Last updated Jun 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881263077 NPPES
Other RBT-19-82909 BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)

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