Individual
NORMA DEGANTE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10112 43RD AVE APT 4, CORONA, NY 11368-2436
(929) 365-3446
(000) 000-0000
Mailing address
10112 43RD AVE APT 4, CORONA, NY 11368-2436
(929) 365-3446
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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