Pena, Ariam Ivette
Pena, Ariam Ivette is an sole proprietor health care provider with primary practice located at 11260 Roger Bacon Dr Ste 103 , Reston VA 20190-5203. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pena, Ariam Ivette can be contacted via phone (703) 782-3073.Contact Information
Primary practice address
11260 Roger Bacon Dr Ste 103
Reston VA 20190-5203
Phone: (703) 782-3073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701013442 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC013366 | Georgia |
Profile Details
| NPI number | 1437588837 |
|---|---|
| LBN Legal business name | Pena, Ariam Ivette |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2013 |
| Last updated | Feb 28th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437588837 | NPPES |
| Massachusetts | MEDICAID | 1303295 |
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