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1346978657
MANUEL PENA
QUEENS VILLAGE, NY
NPI
1346978657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NY 548912586)
Enumeration Date
2022-08-13
Last Update Date
2022-08-13
Business Address
MANUEL PENA
22122 110TH AVE
QUEENS VILLAGE, NY 11429-2527
Phone number: 929-363-3443
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Mailing Address
MANUEL PENA
22122 110TH AVE
QUEENS VILLAGE, NY 11429-2527
Phone number: 929-363-3443
Copy
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