Efrain Pena Jr.
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1982240487
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1982240487
- Entity type
- Individual (NPI-1)
- Name
- Mr. Efrain Pena Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2019
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2155 Chicago Ave Ste 203Riverside, CA 92507-2209
Phone 951-357-6921 · Fax 855-568-2494
Mailing address
18726 S Western Ave Ste 408Gardena, CA 90248-3858
Phone 310-856-0800 · Fax 855-568-2494
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