Destinee Aliyah Phasoukvong
Destinee Aliyah Phasoukvong is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5360 Cascade Rd SE Ste 1Grand Rapids, MI 49546-6404
Phone: (120) 161-6278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1700522646 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 11, 2022 |
| Last updated in NPPES | May 11, 2022 |
| Certification date | May 11, 2022 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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