Destiny Marielle Irving

NPI #1538991070 in Hazlehurst, Mississippi

Provider Information

NPI Number: 1538991070
Entity Type: Individual
Name: Destiny Marielle Irving
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 14, 2024
Last Updated: Aug 14, 2024

Practice Location

Address: 424 S EXTENSION ST
City: Hazlehurst
State: Mississippi
ZIP Code: 39083-3312
Phone: (601) 988-7723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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