Individual
PENDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 CALIFORNIA AVE, UNIONDALE, NY 11553-1128
(516) 918-1851
Mailing address
69 DRAKE ST, MALVERNE, NY 11565-1506
(929) 248-9411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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