Individual
DESTINY DIANE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5555 CONNER ST, DETROIT, MI 48213-3448
(586) 228-9991
Mailing address
18488 HARTWELL ST, DETROIT, MI 48235-1343
(248) 974-8288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002240
MI
Other
Enumeration date
01/19/2021
Last updated
11/14/2023
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