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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS DESTINE MARIE EZELL

Active Sole Proprietor

Behavior Technician · CHEYENNE, WY

Registration Details

NPI Number
1205431889
Provider Type
Individual
Gender
Female
NPI Issued
Dec 2, 2020 (5.3964998746826 yrs)
Last Updated
Dec 2, 2020
Sole Proprietor
Yes

Practice Information

Address
3120 OLD FAITHFUL RD STE 100
CHEYENNE, WY, 820015890
Browse WY providers · Browse ZIP 82001
Phone
3072212937
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in CHEYENNE, WY

Name Credential NPI
KIMBERLY SUE GINGRICH 1063938371
CINDY JONES 1033607528
MADORI PRESLEY RBT 1851885354
TAYLER THOMPSON 1649758343
MEGAN KRAUSHAAR 1396214722
BREMEN TAYLOR WHITLOCK 1477022804
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.