Individual
ABEL ALEJANDRO PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
319 SHADY LANE RD, PALM SPRINGS, FL 33461-1822
(561) 281-6729
Mailing address
319 SHADY LANE RD, PALM SPRINGS, FL 33461-1822
(561) 281-6729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1017759
FL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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