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Individual
DESTENY HOLLIS
Active
Individual
DESTENY HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-146237
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
02/09/2020
Last updated
05/23/2024
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