Destin Mizelle
Destin Mizelle is a Behavior Technician in Newnan, Georgia. Licensed in Georgia. Registered with an NPI since 2019.
- Licensed in
- GA
- In the registry since
- 2019
Practice location Address checks out
225 Millard Farmer Ind Blvd Ste 100Newnan, GA 30263-3168
Phone: (470) 400-3177
Fax: (904) 538-0714
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-19-91537 (GA) |
|---|
Record details
| NPI number | 1619539277 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 3, 2019 |
| Last updated in NPPES | July 3, 2019 |
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