Individual
KIARA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
924 W 6TH ST, JUNCTION CITY, KS 66441-3229
(785) 256-9096
Mailing address
760 W 43RD ST APT 1122, KANSAS CITY, MO 64111-3100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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