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Individual

DESTINY MYISHA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10390 COLOMA RD STE A, RANCHO CORDOVA, CA 95670-2152
(877) 910-6538
Mailing address
5517 CABRILLO WAY, ROCKLIN, CA 95765-5148
(917) 912-3823

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
07/05/2024
Last updated
07/05/2024
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