Miss. Destine Marie Ezell
Miss. Destine Marie Ezell is a Behavior Technician in Cheyenne, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.
- Licensed in
- WY
- In the registry since
- 2020
Practice location Address checks out
3120 Old Faithful Rd Ste 100Cheyenne, WY 82001-5890
Phone: (307) 221-2937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (WY) |
|---|
Record details
| NPI number | 1205431889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 2, 2020 |
| Last updated in NPPES | December 2, 2020 |
| Certification date | December 2, 2020 |
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