Individual
DESTINIA LASHAWN BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 TRADE CENTER DR, EVANS, GA 30809-6167
(706) 723-8458
Mailing address
3611 WALKER CREEK RD, HEPHZIBAH, GA 30815-5168
(706) 804-6185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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