Destiny Hope Thiessen
Behavior Technician in Albuquerque, NM. Individual provider (NPI-1).
NPI number1235946005
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1235946005
- Entity type
- Individual (NPI-1)
- Name
- Destiny Hope Thiessen
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2024
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2300 Stevens Dr NeAlbuquerque, NM 87112-1450
Phone 505-549-8633
Mailing address
2300 Stevens Dr NeAlbuquerque, NM 87112-1450
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