Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINY ANTONIA LAKE
ActiveDESTINY ANTONIA LAKE is a Behavior Technician healthcare provider located in WEIDMAN, Michigan. NPI 1942976121 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · WEIDMAN, MI
Registration Details
- NPI Number
- 1942976121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2021 (4.9827991556976 yrs)
- Last Updated
- Aug 18, 2021
Practice Information
- Address
-
6151 W NOTTAWA STWEIDMAN, MI, 488939710Browse MI providers · Browse ZIP 48893
- Phone
- 9898248195
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in WEIDMAN, MI
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY HUTCHINS | — | 1720523640 |
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.