Healthcare Provider Details

I. General information

NPI: 1902761653
Provider Name (Legal Business Name): PATRICIA LYNN PENMAN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18811 CYPRESS ROSEHILL RD
CYPRESS TX
77429-7326
US

IV. Provider business mailing address

16723 CANYON WHISPER DR
CYPRESS TX
77429-6413
US

V. Phone/Fax

Practice location:
  • Phone: 281-317-2226
  • Fax: 713-322-9806
Mailing address:
  • Phone: 281-317-2226
  • Fax: 713-322-9806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: