Individual
YASMANI PENA NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 16TH AVE N, LAKE WORTH, FL 33460-6420
(561) 480-0988
Mailing address
1610 16TH AVE N, LAKE WORTH, FL 33460-6420
(561) 480-0988
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15772
FL
Other
Enumeration date
12/21/2022
Last updated
01/14/2025
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