NPI 1104590405
Nathalia Pena, NONE
Practice location
- Address
- 201 King of Prussia Rd, Radnor, PA 19087-5147
- Phone
- (215) 853-6682
- Mailing address
- 18726 S Western Ave, Gardena, CA 90248-3813
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1104590405
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Aug 2021
- Record last updated
- 2 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.