Wonder Haven PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WONDER HAVEN PLLC

Practice address

2664 Townsend CT Ste D
Clarksville, TN 37043-7108

Phone

(931) 262-7549

Fax

(931) 443-8505

NPI assigned

Aug 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Vanesa Penko, BCBANPI 1316579485

Title

Owner/Bcba

Phone

(931) 262-7549

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Penko, BCBA

  • Behavior Analyst
  • Clarksville, TN
  • NPI 1316579485
  NPD Authorized official
• Lola Vallejos

  • Behavior Technician
  • Clarksville, TN
  • NPI 1376406587
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1205712965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 TOWNSEND CT STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370437108",
            "telephone_number": "931-262-7549",
            "fax_number": "931-443-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 TOWNSEND CT STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370437108",
            "telephone_number": "931-262-7549",
            "fax_number": "931-443-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER HAVEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "PENKO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "VANESA",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "931-262-7549",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Theresa Wolter
• Abbigail Glenn Womack, RN
• Josette Renea Womack
• Justin Andrew Womack, PHARMD
• Women First, PLLC
• Amber Wood, WHNP
• Daria Wood, PA-C
• Donieka Renee Wood
• Erica Wood
• Kristy Danielle Wood, LCMHC, PHD

• Community/Behavioral Health Agency in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.