Individual
ADARA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13132 SW 205TH ST, MIAMI, FL 33177-6148
(786) 560-5197
Mailing address
13132 SW 205TH ST, MIAMI, FL 33177-6148
(786) 560-5197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42413
FL
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
SI945
FL
Other
Enumeration date
05/01/2014
Last updated
07/10/2024
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