Individual
AMANDA M PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
419 W 49TH ST, HIALEAH, FL 33012-3654
(305) 822-9063
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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