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NPI Code Detail

MEDICARE: DESTINY VILLEGAS

MEDICARE: DESTINY VILLEGAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1134998891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY VILLEGAS
Provider Business Mailing Address
First Line : 2625 TOWNSGATE RD STE 102
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91361-5726
Country : US
Telephone Number : 805-413-3009
Fax Number :
Provider Business Practice Location Address
First Line : 2625 TOWNSGATE RD STE 102
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91361-5726
Country : US
Telephone Number : 805-413-3009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2023
Last Update Date : 12/21/2023

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Directions to “ DESTINY VILLEGAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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