Nicole Destefano, BCBA

NPI #1164092433 in Mechanicsburg, Pennsylvania

Provider Information

NPI Number: 1164092433
Entity Type: Individual
Name: Nicole Destefano, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jun 29, 2021
Last Updated: Jun 29, 2021

Practice Location

Address: 200 BENT CREEK BLVD
City: Mechanicsburg
State: Pennsylvania
ZIP Code: 17050-1938
Phone: (570) 802-3099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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