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NPI Code Detail

MEDICARE: AMY DESTINY NAFFA

MEDICARE: AMY DESTINY NAFFA
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
2103K00000XBehavior Analyst1165NV

General Provider Information

NPI Number : 1528677143
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY DESTINY NAFFA
Provider Business Mailing Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1707 VILLAGE CENTER CIR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0577
Country : US
Telephone Number : 718-215-5311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2020
Last Update Date : 05/19/2026

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