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NPI Code Detail

MEDICARE: NATALY PENA

MEDICARE: NATALY PENA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-24-400956FL

General Provider Information

NPI Number : 1013715408
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALY PENA
Provider Business Mailing Address
First Line : 342 W 37TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 342 W 37TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4326
Country : US
Telephone Number : 786-612-5077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 03/03/2025

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Directions to “ NATALY PENA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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