Search › Georgia › 103K00000X
Shaina Destefano, BCBA
NPI 1861194094 · on the registry since 2023
Practice
- Address
- 62 Bluff View Dr
Ringgold, GA 30736 - Phone
- (423) 475-3517
Additional practice sites
- 2270 Thornton Taylor Pkwy Ste B, Fayetteville, TN
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia