Maxxine Pena

NPI #1114743580 in La Grange, California

Provider Information

NPI Number: 1114743580
Entity Type: Individual
Name: Maxxine Pena
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 2, 2024
Last Updated: Dec 2, 2024

Practice Location

Address: 9825 HERNANDEZ DR
City: La Grange
State: California
ZIP Code: 95329-9659
Phone: (209) 628-2484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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