Individual
ANA M PENA REGUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11501 SW 132ND AVE, MIAMI, FL 33186-4644
(786) 716-1762
Mailing address
11501 SW 132ND AVE, MIAMI, FL 33186-4644
(786) 716-1762
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-09035
FL
247200000X
Other Technician
—
—
Other
Enumeration date
05/24/2016
Last updated
04/06/2020
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