Individual
DESTINY CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 BOYLSTON ST FL 16, BOSTON, MA 02199-7637
(888) 922-2843
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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