MS. Destiny Marie Simone Squires

NPI #1043858566 in Brooklyn, New York

Provider Information

NPI Number: 1043858566
Entity Type: Individual
Name: MS. Destiny Marie Simone Squires
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 16, 2019
Last Updated: Dec 16, 2019

Practice Location

Address: 2233 NOSTRAND AVE STE 3
City: Brooklyn
State: New York
ZIP Code: 11210-3029
Phone: (718) 258-1714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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