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General NPI Number Information
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NPI Number | 1457051674
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Entity Type | Individual
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Provider Name | LIANNY PENA MARTINEZ BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1600 NE 1ST AVE
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City | MIAMI
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State | FL
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Zip | 33132-1212
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Country | US
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Telephone | 786-312-0083
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 NE 1ST AVE APT 1706
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City | MIAMI
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State | FL
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Zip | 33132-1255
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Country | US
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Telephone | 786-312-0083
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-87343
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License Number State | FL
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