IndividualActive
Jennifer Pannebaker
NPI 1104360726 · Behavior Analyst · Cheyenne, WY
Provider details
- NPI number
- 1104360726
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-14-9812 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
813 Randall Ave
Cheyenne, WY 82001
Phone: (719) 469-4906
Street-level locationGet directions
Mailing address
813 Randall Ave
Cheyenne, WY 82001-2559
Additional practice locations (2)
- 3217 S Macdill AveTampa, FL 33629-1719Phone: (813) 284-7941Fax: (813) 284-7942
- 326 Parsley BlvdCheyenne, WY 82007-1014Phone: (307) 632-2991
Registry dates
- Enumerated
- 2016-12-16
- Last updated
- 2020-01-06
- Certified
- 2020-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.