Pena, Sydnie A

Pena, Sydnie A is an individual health care provider with primary practice located at 7875 Nw 12Th St Ste 109 , Doral FL 33126-1815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Pena, Sydnie A can be contacted via phone (786) 269-3502.

Contact Information

Primary practice address
7875 Nw 12Th St Ste 109 Doral FL 33126-1815
Phone: (786) 269-3502
Fax: (305) 468-6154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-18-9171 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-60457 Florida

Profile Details

NPI number 1285008037
LBN Legal business name Pena, Sydnie A
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2015
Last updated Aug 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285008037 NPPES
Florida MEDICAID 024836400

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