| Doctor Name: | JANA LEE PENROD |
| NPI Number: | 1003158296 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYCHOLOGIST |
| License Number: | L2053661 |
| Business Practice Address: | 623 N Broad St Adrian, MI - 492212131 |
| Business Phone Number: | 5172641313 |
| Business Fax Number: | 5172660553 |
| Mailing Address: | 623 N Broad St, ADRIAN |
| State: | MI |
| Postal Code: | 492212131 |
| Phone Number: | 5172641313 |
| Fax Number: | 5172660553 |
| NPI Enumeration Date: | 03/26/2013 |
| NPI Last Update Date: | 03/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103K00000X |
| License Number: | L2053661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Behavioral Analyst |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Behavior Analyst is a practitioner who specializes in analysis of behavior problems and development of appropriate intervention and treatment plans. A Behavior Analyst may work independently or with a team of professionals. Behavior Analysts often specialize in a particular area such as autism, developmental disabilities, mental health, geriatrics, or head trauma. |