Nicole Destefano, BCBA
Behavior Analyst in Mechanicsburg, PA. Individual provider (NPI-1).
NPI number1164092433
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092433
- Entity type
- Individual (NPI-1)
- Name
- Nicole Destefano
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-48422 | – | Yes |
Practice location
200 Bent Creek BlvdMechanicsburg, PA 17050-1938
Phone 570-802-3099
Mailing address
615 Darby CtHummelstown, PA 17036-7202
Phone 914-552-8250
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All 28 Behavior Analyst providers in Mechanicsburg · All 2,128 providers in Mechanicsburg
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