Individual
KATHERINE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
(812) 610-1814
Mailing address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
(812) 610-1814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30049
IN
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/29/2013
Last updated
07/06/2020
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