Destiny Villafana
Behavior Technician in Orange, CA. Individual provider (NPI-1).
NPI number1689428005
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1689428005
- Entity type
- Individual (NPI-1)
- Name
- Destiny Villafana
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2024
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
201 S Anita Dr Ste 203Orange, CA 92868-3312
Phone 657-331-4551
Mailing address
201 S Anita Dr Ste 203Orange, CA 92868-3312
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