Most Relevant Information
Provider Data
| NPI Number: | 1003433228 |
| Provider Name: | MIRIELA PENTON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-120272 |
Most Important Dates
| Enumeration Date: | 07/03/2020 |
| Last Updated: | 07/23/2024 |
Provider Practice Location
22867 SW 89TH PATH
CUTLER BAY
FL
331901367
Practice Location Phone/Fax
| Phone: | 7863076053 |
| Fax: |
Provider Mailing Location
22867 SW 89TH PATH
CUTLER BAY
FL
331901367
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |