Pennylane Center | |
43418 62nd St W Lancaster CA 93536-1807 | |
(323) 304-9466 | |
Not Available |
Full Name | Pennylane Center |
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Speciality | Behavior Analyst |
Location | 43418 62nd St W, Lancaster, California |
Authorized Official Name and Position | Elizabeth Marie Rangel (THERAPEUTIC BEHAVIORAL SPECIALIST) |
Authorized Official Contact | 6612664783 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pennylane Center 43418 62nd St W Lancaster CA 93536-1807 Ph: () - | Pennylane Center 43418 62nd St W Lancaster CA 93536-1807 Ph: (323) 304-9466 |
NPI Number | 1548684905 |
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Provider Enumeration Date | 02/05/2014 |
Last Update Date | 08/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548684905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 171M00000X (California) | Primary |
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