Individual
ROSA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
280 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1588
(704) 799-6824
(704) 799-6825
Mailing address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
(704) 799-6825
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69585
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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