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Destini Artis

Behavior Technician in Coon Rapids, MN. Individual provider (NPI-1).

NPI number1194458331
StatusActive
Last updated in NPPESJul 6, 2022

Details

NPI
1194458331
Entity type
Individual (NPI-1)
Name
Destini Artis
Sex
Female
Sole proprietor
No
Enumeration date
Jul 6, 2022
Certification date
Jul 6, 2022
Last updated
Jul 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9120 Springbrook Dr Nw
Coon Rapids, MN 55433-5845

Phone 763-231-2590

Mailing address

12357 Thrush St Nw
Coon Rapids, MN 55448-1860

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