Isangel Milmar Pena

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-84532 Issued in FL

Practice address

1616 Jork Rd Ste 401-402
Jacksonville, FL 32207-2491

Phone

(904) 662-7093

NPI assigned

Aug 15, 2023

Last updated

Nov 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1417730433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 BLOOMFIELD CT",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684484",
            "telephone_number": "904-352-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 JORK RD STE 401-402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072491",
            "telephone_number": "904-662-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ISANGEL",
        "middle_name": "MILMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-84532",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Pena-Garzon
• Alejandro Pena Jr., MD
• Ashley Brandt Dickinson Pena, MD
• Eduardo Pena, IDHS
• Emmanuel Pena, D.O.
• Joanna Pena, APRN
• Louise Pena, RBT
• Rose Marie Pena
• Vanessa Ileana Pena, CCC-SLP
• Luis Alberto Penaranda Bolano, M.D.

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.