| NPI | 1487309506 |
|---|---|
| Former Name | KASANDRA MARIE PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2024-04-10 |