Individual
YUSEINNY VALLE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACB477456
Contact information
Practice address
4600 E WASHINGTON ST STE 300, PHOENIX, AZ 85034-1908
(623) 335-4283
Mailing address
1308 HENRY BALCH DR, ORLANDO, FL 32810-4509
(602) 335-9758
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56638
CO
Other
Enumeration date
02/02/2022
Last updated
10/19/2025
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