Destiny Maria Lynn Fender

NPI #1144009010 in South Bend, Indiana

Provider Information

NPI Number: 1144009010
Entity Type: Individual
Name: Destiny Maria Lynn Fender
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 28, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 2505 E JEFFERSON BLVD
City: South Bend
State: Indiana
ZIP Code: 46615-2635
Phone: (574) 289-4831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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