Individual
BRYAN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT, CPR
Contact information
Practice address
2710 N MASON RD STE 170, KATY, TX 77449-4180
(281) 505-9338
Mailing address
2710 N MASON RD STE 170, KATY, TX 77449-4180
(281) 505-9338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-232812
TX
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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