Most Relevant Information
Provider Data
| NPI Number: | 1003414244 |
| Provider Name: | DESTINY STANDIFER |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2020 |
| Last Updated: | 10/10/2020 |
Provider Practice Location
2851 E THERESA ST APT 1
LONG BEACH
CA
908141385
Practice Location Phone/Fax
| Phone: | 9163205031 |
| Fax: |
Provider Mailing Location
PO BOX 1261
NORTH HIGHLANDS
CA
956601261
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |