Individual
ANTHONY WONG PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5741 W 20TH CT, HIALEAH, FL 33016-2661
(786) 626-4106
Mailing address
5741 W 20TH CT, HIALEAH, FL 33016-2661
(786) 626-4106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88222
FL
171M00000X
Case Manager/Care Coordinator
CBHCM103563
FL
Other
Enumeration date
11/15/2021
Last updated
03/31/2026
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