Individual
BRITTANY DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 587-2370
Mailing address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(800) 434-8923
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
12/21/2020
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