Jorge Coria Pena

NPI #1093436909 in Modesto, California

Provider Information

NPI Number: 1093436909
Entity Type: Individual
Name: Jorge Coria Pena
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 8, 2022
Last Updated: Sep 8, 2022

Practice Location

Address: 2630 W RUMBLE RD
City: Modesto
State: California
ZIP Code: 95350-0155
Phone: (209) 222-2378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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