Individual
MS. DESTINY FAULCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 23452-7332
(757) 849-8138
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
B61701408
VA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
12/10/2019
Last updated
08/24/2022
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