Individual provider · Type 1 NPI

Mario R. Pena Carranza

Behavior Analyst · Granite Bay, CA

NPI number 1174313084 Active

Practice location

4196 Douglas Blvd Ste 100
Granite Bay, CA 95746-5904

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1174313084

Mario R. Pena Carranza's National Provider Identifier is 1174313084, issued on May 12, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Granite Bay, CA. The record was last updated on Sep 11, 2025.