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NPI Code Detail

MEDICARE: JANEY SAMANTHA PENA

MEDICARE: JANEY SAMANTHA 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 TechnicianCA

General Provider Information

NPI Number : 1962355214
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANEY SAMANTHA PENA
Provider Business Mailing Address
First Line : 1401 FULTON ST STE 200
Second Line :
City : FRESNO
State : CA
Zip : 93721-1646
Country : US
Telephone Number : 559-392-1250
Fax Number :
Provider Business Practice Location Address
First Line : 1401 FULTON ST STE 200
Second Line :
City : FRESNO
State : CA
Zip : 93721-1646
Country : US
Telephone Number : 559-392-1250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “ JANEY SAMANTHA PENA ” Practice Location

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