Destanie Realivazquez Pena
Behavior Technician in El Paso, TX. Individual provider (NPI-1).
NPI number1457039745
StatusActive
Last updated in NPPESJul 21, 2026
Details
- NPI
- 1457039745
- Entity type
- Individual (NPI-1)
- Name
- Destanie Realivazquez Pena
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2023
- Certification date
- Jul 21, 2026
- Last updated
- Jul 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
725 S Mesa Hills Dr Bldg 3El Paso, TX 79912-5568
Phone 855-223-7123
Mailing address
Po Box 740780Atlanta, GA 30374-0780
Phone 855-223-7123 · Fax 619-374-7134
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