Individual
ANA LOPEZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5666 SEMINOLE BLVD STE 106, SEMINOLE, FL 33772-7328
(239) 201-9338
Mailing address
8018 IDLE BRIAR LN, PORT RICHEY, FL 34668-6820
(727) 359-7352
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-315758
FL
Other
Enumeration date
11/18/2024
Last updated
03/03/2026
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