Agustin Pena

NPI #1013356906 in Las Vegas, Nevada

Provider Information

NPI Number: 1013356906
Entity Type: Individual
Name: Agustin Pena
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 24, 2013
Last Updated: Mar 2, 2018

Practice Location

Address: 2301 CEDAR AVE
City: Las Vegas
State: Nevada
ZIP Code: 89101-3401
Phone: (702) 287-2501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X
Behavior Technician	106S00000X	Primary

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