Destinee Shine
Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1619702982
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1619702982
- Entity type
- Individual (NPI-1)
- Name
- Destinee Shine
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2024
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
27777 Inkster RdFarmington Hills, MI 48334-5310
Phone 248-436-6561
Mailing address
27777 Inkster RdFarmington Hills, MI 48334-5310
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All 33,296 Behavior Technician providers in Farmington Hills · All 39,103 providers in Farmington Hills
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