Individual
MISS DYNASTY ANTOINIQUE ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
805 MADISON ST SE STE 2E, HUNTSVILLE, AL 35801-4424
(256) 755-4278
Mailing address
805 MADISON ST SE STE 2E, HUNTSVILLE, AL 35801-4424
(256) 755-4278
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-281134
AL
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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