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NPI Code Detail

MEDICARE: GIHANNA PENA

MEDICARE: GIHANNA 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 Technician

General Provider Information

NPI Number : 1881436772
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIHANNA PENA
Provider Business Mailing Address
First Line : 3282 GREENWALD WAY N
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-0728
Country : US
Telephone Number : 321-355-3904
Fax Number : 407-255-6429
Provider Business Practice Location Address
First Line : 3282 GREENWALD WAY N
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-0728
Country : US
Telephone Number : 321-355-3904
Fax Number : 407-255-6429
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 12/09/2025

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Directions to “ GIHANNA PENA ” Practice Location

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