Individual provider · Type 1 NPI

Rardy Leandro Pena, B.A.

Developmental Therapist · Lynn, MA

NPI number 1982825931 Active

Practice location

103 Johnson St
Lynn, MA 01902-4001

Fax (781) 593-2542

Mailing address

PO Box 189
Lynn, MA 01903-0289

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1982825931

Rardy Leandro Pena, B.A.'s National Provider Identifier is 1982825931, issued on May 1, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lynn, MA. The record was last updated on Jul 8, 2007.