Provider Demographics
NPI:1093430886
Name:POZO PADRON, WENDY
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:POZO PADRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1453 HARVEY CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-3138
Mailing Address - Country:US
Mailing Address - Phone:407-409-2184
Mailing Address - Fax:
Practice Address - Street 1:1453 HARVEY CT
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-3138
Practice Address - Country:US
Practice Address - Phone:407-409-2184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst