Individual
CAMERON PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 E ROOSEVELT ST APT 5048, PHOENIX, AZ 85004-4314
(480) 995-1570
Mailing address
330 E ROOSEVELT ST APT 5048, PHOENIX, AZ 85004-4314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-487624
AZ
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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