Nicole Marie Destefano, BCBA Valid NPI
Individual provider · Behavior Analyst · El Segundo, CA
- NPI
- 1437620689
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Practice location
400 Continental Blvd Ste 6035
El Segundo, CA 90245-5076
(760) 803-3717