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Destiny Jelia Coleman

Behavior Technician in Gonzales, LA. Individual provider (NPI-1).

NPI number1689340382
StatusActive
Last updated in NPPESAug 22, 2021

Details

NPI
1689340382
Entity type
Individual (NPI-1)
Name
Destiny Jelia Coleman
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2021
Certification date
Aug 22, 2021
Last updated
Aug 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1028 E Worthy St
Gonzales, LA 70737-4367

Phone 504-399-9851

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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Other Behavior Technician providers in Gonzales, LA

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