Individual
DESTINY MARIE NASIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4349 W PARK LANE DR, ALSIP, IL 60803-2602
(708) 243-2107
Mailing address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-445875
IL
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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