Individual
NICOLE DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
200 BENT CREEK BLVD, MECHANICSBURG, PA 17050-1938
(570) 802-3099
Mailing address
615 DARBY CT, HUMMELSTOWN, PA 17036-7202
(914) 552-8250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48422
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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