Individual provider · Type 1 NPI
Kimberly Edeisha Pennerman
Assistant Behavior Analyst · Lake Placid, FL
Practice location
750 Washington Blvd NW
Lake Placid, FL 33852-8312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst Primary | 106E00000X | None listed |
Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …
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About NPI 1225933351
Kimberly Edeisha Pennerman's National Provider Identifier is 1225933351, issued on Oct 9, 2026. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Lake Placid, FL. The record was last updated on Oct 9, 2026.