Medina, Destiny

Medina, Destiny is an individual health care provider with primary practice located at 10523 W Zak Rd , Tolleson AZ 85353-5637. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Medina, Destiny can be contacted via phone (623) 800-3064.

Contact Information

Primary practice address
10523 W Zak Rd Tolleson AZ 85353-5637
Phone: (623) 800-3064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1225893977
LBN Legal business name Medina, Destiny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2024
Last updated Feb 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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