Destiny Holt
Behavior Technician in Lansing, MI. Individual provider (NPI-1).
NPI number1013700533
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1013700533
- Entity type
- Individual (NPI-1)
- Name
- Destiny Holt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2025
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4000 W Michigan AveLansing, MI 48917-2856
Phone 517-258-0052
Mailing address
2805 S Industrial Hwy Ste 100Ann Arbor, MI 48104-6791
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