Destiny Nichole Vega

NPI #1750089140 in Avalon, California

Provider Information

NPI Number: 1750089140
Entity Type: Individual
Name: Destiny Nichole Vega
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 16, 2023
Last Updated: Feb 16, 2023

Practice Location

Address: 100 BANNING DR APT B8
City: Avalon
State: California
ZIP Code: 90704-1658
Phone: (310) 755-8469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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