MEDICARE: ARNALDO MICHAEL PENA BCBA

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
1	106S00000X	Behavior Technician	RBT-21-8585-290069	TX
2	103K00000X	Behavior Analyst	1-23-64458	TX

General Provider Information

NPI Number	:	1932786357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNALDO MICHAEL PENA BCBA

Provider Business Mailing Address
First Line	:	880 RIDGEWOOD ST STE 1
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-8466
Country	:	US
Telephone Number	:	956-641-0522
Fax Number	:	956-225-0215

Provider Business Practice Location Address
First Line	:	880 RIDGEWOOD ST STE 1
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-8466
Country	:	US
Telephone Number	:	956-641-0522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/26/2026

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