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Individual

HUMBERTO PENA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10910 BROCKS GAP ST, SAN ANTONIO, TX 78230-1715
(956) 208-2681
Mailing address
10910 BROCKS GAP ST, SAN ANTONIO, TX 78230-1715
(956) 208-2681

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-15-6734
TX
2355S0801X
Speech-Language Assistant
Primary
34069
TX

Other

Enumeration date
07/19/2007
Last updated
04/28/2016
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