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Individual

DESTINY TEVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 S 10TH ST APT C, RICHMOND, IN 47374-5573
(765) 238-5586
Mailing address
35 S 10TH ST APT C, RICHMOND, IN 47374-5573
(765) 238-5586
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-223279
IN

Other

Enumeration date
01/06/2023
Last updated
02/20/2025
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