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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEANDRE PENICK

Active

KEANDRE PENICK is a Behavior Technician healthcare provider located in TAYLOR, Michigan. NPI 1356233985 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · TAYLOR, MI

Registration Details

NPI Number
1356233985
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2025 (0.89053428354852 yrs)
Last Updated
Jul 17, 2025

Practice Information

Address
20332 EUREKA RD
TAYLOR, MI, 481805310
Browse MI providers · Browse ZIP 48180
Phone
8334558622
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in TAYLOR, MI

Name Credential NPI
AZJANAE FIELDS 1013422930
COURTNEY ARIEAL HARPER 1730665514
ASHLEY BUSCH 1871079483
BRANDI WILLIAMS 1457060691
HAYLEY MOREY 1942980677
BRIANNA A BROWN 1902671621
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.