Most Relevant Information
Provider Data
| NPI Number: | 1003650805 |
| Provider Name: | KENDRA PANDALIS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/25/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
79 WINSTON DR STE 229
ROCK SPRINGS
WY
829015775
Practice Location Phone/Fax
| Phone: | 3072123284 |
| Fax: |
Provider Mailing Location
PO BOX 20310
CHEYENNE
WY
820037007
Provider Mailing Phone/Fax
| Phone: | 3079226644 |
| Fax: |