Individual
MRS. KAILA DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
(509) 324-1411
(509) 327-0163
Mailing address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
(509) 324-1411
(509) 327-0163
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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