Individual
ALIETTE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 NE 2ND PL, CAPE CORAL, FL 33909-1962
(813) 381-0676
Mailing address
623 NE 2ND PL, CAPE CORAL, FL 33909-1962
(813) 381-0676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB864463
FL
Other
Enumeration date
02/16/2023
Last updated
04/10/2025
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