Destiny Madrid
Behavior Technician in Austin, TX. Individual provider (NPI-1).
NPI number1982304804
StatusActive
Last updated in NPPESMar 8, 2023
Details
- NPI
- 1982304804
- Entity type
- Individual (NPI-1)
- Name
- Destiny Madrid
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Mar 8, 2023
- Last updated
- Mar 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1101 W 40th St Ste 102Austin, TX 78756-3609
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
16782 Von Karman Ave Ste 11Irvine, CA 92606-2417
Phone 855-223-7123 · Fax 619-374-7134
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