Individual
RICHARD PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2905 NW 130TH AVE APT 208, SUNRISE, FL 33323-3047
(786) 562-2639
Mailing address
2905 NW 130TH AVE APT 208, SUNRISE, FL 33323-3047
(786) 356-2639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
FL
104100000X
Social Worker
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
FL
171M00000X
Case Manager/Care Coordinator
—
FL
171WH0202X
Home Modifications Contractor
—
FL
172A00000X
Driver
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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