Individual
NYKI PASTUSZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W TUSCALOOSA ST, FLORENCE, AL 35630-5428
(256) 202-4885
Mailing address
3276 OLD CHISHOLM RD APT 1114H, FLORENCE, AL 35630-1079
(256) 443-8047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
07/13/2023
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