Makendo Destine

NPI #1003635822 in Lynn, Massachusetts

Provider Information

NPI Number: 1003635822
Entity Type: Individual
Name: Makendo Destine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 8, 2024
Last Updated: Oct 8, 2024

Practice Location

Address: 72 NEWHALL ST
City: Lynn
State: Massachusetts
ZIP Code: 01902-3425
Phone: (857) 468-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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