Individual
DESTINY ALEXANDRIA MOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1233 LAKE PLAZA DR STE D, COLORADO SPRINGS, CO 80906-3567
(719) 375-2955
Mailing address
5725 PALE ROCK TER APT H, COLORADO SPRINGS, CO 80919-2313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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