Individual
ADRIAN PENA MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 6TH AVE S APT 3103, LAKE WORTH BEACH, FL 33460-4304
(561) 344-9778
Mailing address
1105 6TH AVE S APT 3103, LAKE WORTH BEACH, FL 33460-4304
(561) 344-9778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-342783
FL
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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