Most Relevant Information
Provider Data
| NPI Number: | 1003575341 |
| Provider Name: | MCKENNA LYNN PEFFER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2021 |
| Last Updated: | 12/14/2021 |
Provider Practice Location
5328 LANIER ISLANDS PKWY # 101
BUFORD
GA
305189071
Practice Location Phone/Fax
| Phone: | 7624993476 |
| Fax: |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327465028
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: |