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Individual

LEE DESTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
153 BROADWAY, HICKSVILLE, NY 11801-4297
(201) 241-0079
Mailing address
41 5TH ST, VALLEY STREAM, NY 11581-1270
(516) 668-2843

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/08/2021
Last updated
03/18/2022
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Product
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  • Eligibility checks
  • EDI platform