Destiny Antonia Lake
Destiny Antonia Lake is a Behavior Technician in Weidman, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6151 W Nottawa StWeidman, MI 48893-9710
Phone: (989) 824-8195
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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 | 1942976121 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 18, 2021 |
| Last updated in NPPES | August 18, 2021 |
| Certification date | August 4, 2021 |
Other providers in Weidman
-
Timothy Hutchins
940 N Woodruff Rd, Weidman, MI 48893-9605 · (989) 506-9116