Individual
NATHALIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
201 KING OF PRUSSIA RD, RADNOR, PA 19087-5147
(215) 853-6682
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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