Individual
JONATHAN SANTOS PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBA
Contact information
Practice address
487 JEFFERSON BLVD STE 300, WARWICK, RI 02886-1321
(401) 227-9336
Mailing address
15 RING ST, PROVIDENCE, RI 02909-1313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00406
RI
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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