Destinee Y Banuelos

NPI #1801361597 in Madera, California

Provider Information

NPI Number: 1801361597
Entity Type: Individual
Name: Destinee Y Banuelos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 9, 2018
Last Updated: Oct 9, 2018

Practice Location

Address: 1915 HOWARD RD
City: Madera
State: California
ZIP Code: 93637-5163
Phone: (559) 330-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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